Advanced Audiology CI Course Application

 

AAC 5  Fall 2019 

  • Web Class: TBD

  • Advanced Programming Practicum TBD

 

For any questions, please contact Heather Strader: hstrader@CochlearImplantTraining.com

 
Name and credentials *
Name and credentials
Formal name and credentials
Cell Phone *
Cell Phone
Work Phone *
Work Phone
Address *
Address
Mailing Address
For Audiology degree
Current position involves which patient groups *
Current position involves which implant makers *
I am an instructor currently teaching a graduate level CI course and would like to apply for a scholarship
(This scholarship covers tuition, but participants will still be responsible for travel to the practicum).
What AuD program do you teach for?