: e r u t u F r u o Y s A y p a r e h T e c l i t a c c a i r s P o t Phy n o i t lica ol h scho ig H . r e care d py as a a r e h intende t l e a sity h t ic s p y eu ph Univer k a e in h m t d t e s t a gram aduate interes ical T) Pro ege gr nyone ll P a o D c ( al phys o t n y d n p n io e s a a r p s , e o e s f al Th f pro dviser erence ilities o f Physic llege a ib o o al conf s c r n n , o io t o s t t c p a d res ve l D o studen Inform ram. ntry-le oles an ollege r e c e , e h y Prog s t t th p , n t a n e r u d e o io t u h b t a s a rn a sical T applic ce. Le of Phy e your r r o a t p c e o audien r op of the D , how t a tour e k of Iowa a t d ists, an therap p p A m Fro 014 2 , 9 1 mber e t p e S , Friday C, SC DEO hD, AT & P , ir T a T h P P C illiams, Sass, M APTA, ULE D PhD, F lum, Kelly J. n, Glenn N. W E , T H P C , S hields tion urricu fessio egistra , Richard K. S Program C s of our Pro R s, IA 0 T e 9:0 r Rapid Statu a d e elcom of the UI DP e h C W T day – ospital, iew 9:30 Overv l Therapy To uke’s H wa City, IA y, IA L t. 5 S 4 : a Io 9 wa Cit ience, Health Physic as yPoint abilitation Sc n Science, Io e it r 10:45 Break n A U e ; eh CS ctic atio 11:00 Selected Pra enda, DPT, N l Therapy & R y & Rehabilit y, IA it p a m C a ic r o 5 s a e K J. Iow Phy l Th 11:1 enter, hysica - Kevin Becker, PT; C P ; e D in h P dic ie - Marc DeJong, PT, C Sports Me dents nt tu y IH S e pplica k, PT, MA U c a T ; ta P T n P D a -S , t r n in E. Bor Curre Shaffe g for - Mike ith Faculty & e are lookin orks, Byron w w tw Lunch rocess – Wha 12:15 Admissions dmissions p a w the dents 1:15 PT stu and ho D y b d Break dent Panel al Campus le u ic t 2:05 d S y e lt T u M DP by Fac the UI 2:15 urs of dvisors led el o T Pan fo r A 3:15 Panel ours/Adviser T 3:15 f End o Medical Education & 4:00 Research Facility 375 Newton Rd Iowa City , IA 52242 S re: u t F) u F , IA r y ( ME R it u il c a o F wa City Y Io h c , r e s a in e s f Medic py A n & Re era h T l a c Physi cation to Practice p p li 9, 2014 1 From A r e b m , Septe y a d i r F n: o i t a r t s Regi tio ege o l Educa er Coll v r a C Medica Iowa sity of Univer t on a firs ber 12 m e t p Se e ter by ill not b re-regis counselors w p ation t s u is f reg tr es m and o e s d s r n n e e o is tt ti rence adv ella , so a e confe r. Canc ademic th limited c te A to is is . g s g e is n n r s rectio Seati rved ba tration. must p 2. Dire first se of regis mber 1 fee but n te n o p o ti e ti a -come, a S istr gh firm ith con d a reg e throu charge along w be mad y ts a n a m rticip fund d to pa with re emaile e b l il site w Registration fee is $20 per person and incudes lunch. Name___________________________________________________ Payment: Address_________________________________________________ □ Enclosed is my check payable to Physical Therapy & Rehabilitation Science Email (to receive confirmation)_______________________________ School Attending__________________________________________ Academic Major (college students only)________________________ □ Enclosed is cash □ Charge my: □ Visa □ Mastercard □ Discover in the amount of $___________ I AM A (Check the appropriate choice) * Student: □ □ High School Card Number________________________ College V#_______ Expiration Date ____________ Year: Advisor: □ Freshman □ Sophomore □ Junior □ Senior □ Graduate □ High School □ College * The University of Iowa requests this information for the purpose of processing your registration for this conference. No persons outside the University are routinely provided this information. PROGRAM COORDINATORS: Byron Bork, Kelly Sass & Carol Leigh Department of Physical Therapy & Rehabilitation Science The University of Iowa 1-252 Medical Education Building Iowa City IA 52242-1190 PH: 319/335-9792 FAX: 319/335-9707 www.medicine.uiowa.edu/pt Individuals with disabilities are encouraged to attend all University of Iowa sponsored events. If you are a person with a disability who requires an accommodation to participate in this conference, please contact the Department of Physical Therapy & Rehabilitation Science in advance at 319-335-9792. The University of Iowa prohibits discrimination in employment, education programs, and activities on the basis of race, national origin, color, creed, religion, sex, age, disability, veteran status, sexual orientation, gender identity, or associational preference. The University also affirms its commitment to providing equal opportunities and equal access to University facilities. For additional information on nondiscrimination policies, contact the Office of Equal Opportunity and Diversity, (319) 335-0705 (voice) and (319) 335-0697 (text), 202 Jessup Hall, The University of Iowa, Iowa City, Iowa 52242-1316. Cardholder’s Name ___________________________________ Cardholder’s Billing Address ___________________________________ Signature ___________________________ MAIL REGISTRATION TO: Physical Therapy & Rehabilitation Sciences The University of Iowa 1-252 Medical Education Building Iowa City IA 52242-1190 FAX TO: 319/335-9707 EMAIL TO: carol-l[email protected] The Doctor of Physical Therapy Program at the University of Iowa is accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE), 1111 North Fairfax Street, Alexandria, Virginia 22314; telephone: 703-706-3245; email: [email protected] website: www.capteonline.org.
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