Student Discount Enrollment Form
Kim and Niccole want to encourage you in your academic journey.  You are the future of occupational therapy and we are here to support you.  

Please complete the form below.  We will respond within 3 business days.  If you do not receive an email in 3 business days, please check your spam folder or contact us at info@aspireot.us.
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Email *
Name (First and Last) *
Please note your designation *
University or College Attending *
What type of program are you attending? *
What year are you currently completing in the program? *
Required
Please choose of the following offers: a free course or 50% of our subscription. You can find a list of courses here: Aspire OT Courses *
If you chose 1 free course, please list it below. 
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