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Intercollegiate Academic Clinical Coordinators Council
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  • CI Training Course

CI Training Course

  • 27 Feb 2015
  • 8:00 AM
  • 28 Feb 2015
  • 5:30 PM
  • Cerritos College, Norwalk, CA

Registration


IACCC Facility means you work at a clinic or hospital that schedules students through IACCC (not individual schools), Non-IACCC means your clinic does not schedule students through IACCC, APTA means you are an active APTA member, Non-APTA means you are not an APTA member
Registration is closed

Please be sure to submit your dossier, copy of license and APTA card (if applicable) in addition to payment!

Cerritos College

Instructor:

Marijean Piorkowski, PT, MS, DPT

PLEASE DO NOT REGISTER ONLINE IF YOU INTEND TO PAY BY CHECK! Thank you.

Registration

To register, each participant must submit:

1.  Dossier typewritten. (download form here Participant Dossier Word.doc   ) APTA WILL NOT ACCEPT HANDWRITTEN DOSSIERS.

2.  Copy of state license to practice

3. Copy of current (as of date of course) APTA     membership card, if applicable.

4. Registration fee-- check payable to IACCC, or payment on IACCC website via Paypal.

Mail check to:

Karen Campos

IACCC CCIP Administrator        

1540 East Alcazar Street, CHP-155

Los Angeles, CA, 90089-9006

Fax: 323.442.2998           

 Registration Fees:        

IACCC Affiliate Facility members

        $160  (APTA member)

  $250 (non APTA PT, non APTA PTA)

        $300 (non-PT or non-PTA)

Non-IACCC Facility Members

        $275  (APTA member)

  $400 (non APTA PT, non APTA PTA)

            $465 (non-PT or non-PTA)


REGISTRATION CLOSES JANUARY 30TH, 2015

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