Background/General information


Please complete the form below by Wednesday, September 9, 2020.

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* 1. First name:

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* 2. Last name:

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* 3. Phone number:

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* 4. Email address:

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* 5. City you work or live in:

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* 6. Years of experience as a kinesiologist (if applicable):

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* 7. Language in which you provide care/primarily speak:

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* 8. Are you currently employed?

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