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Intercollegiate Academic Clinical Coordinators Council
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  • CI Training Course

CI Training Course

  • 22 Aug 2015
  • 8:00 AM
  • 23 Aug 2015
  • 5:30 PM
  • Tri-City Medical Center, Oceanside CA

Registration

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

Tri-City Medical Center

Instructors:

Lisa Carroll,  PT

Sharon Katz-Kunde, PT, MS

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

Registration

To register, each participant must submit via email or fax: dossier, license and, if applicable, APTA card:

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 CLOSED July 29, 2015

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