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PHYSICAL THERAPY STAFF SIGN-UP FORM (2008) Open to all Physical Therapy Steering Committee Members DIRECTIONS 1. Register on our registration site. 2. Once you have registered your information, peruse the staff openings for the clinic dates below. For each date, we need: One Operations Coordinator One Staff Coordinator One Patient Coordinator 3. Select your staff position from the pulldown menu and click the checkbox next to each clinic date on which you would like to work. 4. At the bottom of the page, enter the email address you used to register. 5. Click Submit! 6. After you click Submit, this page will automatically refresh. Your name will appear by all the dates you have successfully signed up for. If you run into any problems, please notify the webmaster. Staff Position: Operations Coordinator Staff Coordinator Patient Coordinator Clinic Dates Operations Coordinator (1) Staff Coordinator (1) Patient Coordinator (1) 9/2/08 9/9/08 9/16/08 9/23/08 9/30/08 10/7/08 10/14/08 10/21/08 10/28/08 11/4/08 11/18/08 YOUR REGISTERED EMAIL ADDRESS: This is a case sensitive application. Please enter your email address EXACTLY as you entered it when you registered.

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