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Intercollegiate Academic Clinical Coordinators Council
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  • CI Training Course

CI Training Course

  • 24 Feb 2017
  • 8:00 AM
  • 25 Feb 2017
  • 5:30 PM
  • Cerritos College, Norwalk, CA

Registration


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.

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)

Discounted rates are available for facilities registering more than 5 employees for the same course.  Discounts are applied to the applicable participant rate.  All group registration must be sent together:

10% for groups of 5-9

15% for 10-14

20% for 15 or more

 Send all registration materials to:  

Karen Campos

IACCC CCIP Administrator        

1540 East Alcazar Street, CHP-155K

Los Angeles, CA, 90089-9006

iaccc_ccipadmin@icloud.com

Fax:  323-442-2998

Registration & payment must be received by: February 6th, 2017, Monday.

Your spot in the course cannot be guaranteed until payment and a completed dossier are received.  Only those persons who receive a confirmation of their registration by e-mail will be considered to be enrolled.

Refunds and Cancellations

Cancellations must be received in writing, and will be granted a full refund until February 3rd, 2017.  Cancellations received after February 3rd, 2017 and up to February 17, 2017 prior to the course will receive a refund, minus a $75 processing fee.  Cancellations received February 17, 2017 or later are not eligible for a refund.

REGISTRATION CLOSES FEBRUARY 6th, 2017

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