2021 Wisconsin Student Conclave
Join us for Wisconsin's first virtual student conclave! We have worked very hard to ensure we still provide you all students with exceptional programming! Below are the details. Please make sure to COMPLETELY fill out this form. The week of the event you will receive the Zoom information and an agenda of the programming! We look forward to seeing you! If you have any questions please reach out to Pedro Zavala at
pzavala2@wisc.edu
or Kimma Skibbe at
kimberlyn.skibbe@cuw.edu
.
* Required
2021 Wisconsin Student Conclave
Programming
First Name
*
Your answer
Last Name
*
Your answer
E-mail
*
Your answer
Institution
*
Your answer
Current Year
DPT1
DPT 2
DPT 3
Resident
PTA 1
PTA 2
Clear selection
Everyone will be attending the Keynote Speaker, however, you get the opportunity to sign up to 2 out of the 3 breakout sessions.
What session would like to attend first?
*
Dr. Sue Wenker & Dr. Lisa A. Steinkamp, “Diversity, Equity and Inclusion: reflecting on the past and looking to the future”
Dr. Phil Schaible, “Optimizing Professional Development for the Entry Level Physical Therapist: A Broad Perspective"
Dr. Marie Bement & Dr. Sheila Schindler-Ivens, “Bench to Bedside Knowledge Translation: A Pain Perspective”
What session would like to attend second?
*
Dr. Sue Wenker & Dr. Lisa A. Steinkamp, “Diversity, Equity and Inclusion: reflecting on the past and looking to the future”
Dr. Phil Schaible, “Optimizing Professional Development for the Entry Level Physical Therapist: A Broad Perspective"
Dr. Marie Bement & Dr. Sheila Schindler-Ivens, “Bench to Bedside Knowledge Translation: A Pain Perspective”
Submit
Never submit passwords through Google Forms.
This form was created inside of UW-Madison G Suite.
Forms
