Welcome to the registration for the Allied Team Training Program.


Please follow the instructions below if you would like to continue with your application. Payment will not be due until 30 days after you have been notified of acceptance to the program (unless applying within 30 days of the program date). If your employer is providing payment for your registration fee and needs more than the 30 days, we will be happy to accommodate if notified via email. 

 
Instructions: 
Please allow 20 minutes for the application process. Once you begin, you must finish the application as the information will not be saved if you exit before completion. Once completed, a confirmation screen will confirm receipt of your application. Please print and then use the exit link on the confirmation page. It's best to exit your browser completely.

Do NOT use the same computer to fill out an application as your team member as it may overwrite the application previously submitted based on the computer tracking. Please use a different computer if possible!


Each person attending must fill out an application. Due to the nature of the questions, the application must be filled out by the person planning to attend. Do NOT fill out an application for someone else!
Every applicant must apply individually and use their own email address and the email used should be one that you check at least every other day. All NPF communication will be sent to the email address used on the registration form.

Registration Budgeting:  Tickets prices are below for budgeting purposes. Payment is not required to apply. A payment cannot be made until after you receive an acceptance letter with a 4 digit personal registration number via email.

     Students and MD Fellows = No Charge
(Limited to 2 seats in each discipline for non-licensed students)     
     1 to 2 Practitioners = $450 each
     
     3 or more Practitioners from the same company 
= Team Rate of $400 each 

Team rate:  Must represent at least 2 different disciplines from the same location to be considered as a team. Teams do not need to apply at the same time. If you apply at the practitioner's rate and then at least 2 more from your company apply at different times, you will receive credit for the difference.

Hotel Budgeting:  NPF has a room block at the training site (downtown Chattanooga) for staff and attendees at $129 per night (plus tax) which also includes a complimentary hot buffet breakfast. The hotel information and discount code will be provided in your acceptance letter. Rooms must be reseverved no later than 2/28/14 for this special discounted rate.

Application Eligibility: 
Students must be matriculated full time (in one of the disciplines listed below). 
Practitioners must be licensed and currently working (in one of the disciplines listed below).

Physician
Physician Assistant
Nurse Practitioner
Nurse
Physical Therapist
Occupational Therapist
Speech Therapist
Social Worker
Music Therapist
Other *

*Coordinators for team facilities may also apply in the application category as "other". Pharmacists and psychologists may also apply. Only CME accreditation will be provided.

If you are a licensed practitioner in a different field and would like to attend, have questions or require more information, please contact Denise Beran at NPF.

After completion of the application, you will receive verification via email that your application has been received and has been forwarded to our reviewers. Within 5 business days, you will receive a letter (of acceptance or denial) via email from NPF. If accepted, your letter will refer to a 4 digit registration number which is needed in order to present payment (within 30 days of acceptance).

Cancelations:  If needed, cancelations can be accepted and refunded up to 2 weeks prior to the training date. If you are unable to attend, please notify Denise Beran at NPF as seating is limited. Your empty seat can be filled by someone on a wait list who would like to attend.

Note:  If a paid applicant does not attend without providing a cancelation notice 2 weeks prior to the conference, the applicant is listed as a “no show” and the ticket cannot be refunded.


Click here to begin application


Denise Beran
National Parkinson Foundation
305-537-9938
dberan@parkinson.org