Empower SCI: Montana Clinical Specialist Application
Application as a Clinical Specialist for the one-week residential program at the University of Montana at Missoula

**Montana**
MT Staff Training: May 30 and 31, 2020
MT Program Dates: May 31 to June 6, 2020

Please note that if you have less than 2 years spinal cord specific clinical experience, it is recommended to consider volunteering as a residential aide in your first Empower SCI summer program.

Consider listing your "personal" email address here instead of a school or business account. Because of our volume of applicants, responses to school and business based emails are occasionally flagged as spam in our responses.
Email address *
Personal Information
Last name *
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First name *
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Occupation *
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Telephone number *
Please include an area code.
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Mailing address *
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City *
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State *
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Zip code *
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What is your T-Shirt Size? *
Are you also interested in applying to the program in New York? *
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