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Intercollegiate Academic Clinical Coordinators Council
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  • CI Training Course

CI Training Course

  • 09 Jul 2016
  • 8:00 AM
  • 10 Jul 2016
  • 5:30 PM
  • Presbyterian Intercommunity Hospital

Registration


Registration is closed

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

Presbyterian Intercommunity Hospital

Instructors:

Sharon Kunde, PT, MS

Georgeanne Vlad, PT, MA

 

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)

**An IACCC facility is one who takes students from 2 or more IACCC schools AND schedules students through the IACCC yearly March mailing process.

REGISTRATION CLOSES June 17th, 2016

Refunds and Cancellations

Cancellations must be received in writing, and will be granted a full refund until June 15, 2016.  Cancellations received after June 15, 2016 and up to July 1, 2016 prior to the course will receive a refund, minus a $75 processing fee.  Cancellations received July 2, 2016 or later are not eligible for a refund.

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