The 2nd OTIPM Workshop in Korea (Application Form)
Lecturer: Anne G Fisher, ScD, OT, FAOTA Date: April 20(Friday) ~ April 22 (Sunday) Place: Seoul National University Dental Hospital
Date of Birth ( Year. Month, Day)
(example : 1982. 03. 10)
Identity (Lecturer, Clinician, Student)
Telephone Number(including national code)
(Example : +81-10-1234-5678)
Name of work (or Name of school)
Address of the worksite
The reason that you apply for.
Please introduce yourself and write the reason you attend this workshop
Any other Questions
Please choose all the courses you've taken before.
AMPS(Assessment of Motor and Process Skills)
SAMPS(School Assessment of Motor and Process Skills)
OTIPM(Occupational Therapy Intervention Process Model)
ESI( Evaluation of Social Interaction)
AAD(Assessment of Awareness of Disability)
None of Above
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