Registration – International Society of Wheelchair Professionals (ISWP)

Account Information

Name*

First Last

Email*

Password*

Enter Password Confirm Password

Strength indicator

Please create a password with a strength of "Good" or better. In general a longer password is stronger.

Personal Information

I am a:*

Primary Language Spoken*

Languages I speak*

How did you hear about ISWP?*

Professional Information

Certificates of completion or certifications

Please indicate which certifications you have previously completed

How many years of experience do you have providing wheelchair services? (For example, if you have less than 1 year of experience then enter 0)

Please enter a number less than or equal to 100.

What is your highest level of education or degree earned? Choose all that apply.

Please list any of your memberships in professional organizations or societies affiliated with health, disability, or rehabilitation.

What certifications or licensures do you currently hold if any?

SMS (Seating and Mobility Specialist Certification)
ATP (Assistive Technology Professional Certification)
MD (Doctor of Medicine)
PT (Physical Therapy)
OT (Occupational Therapy)
P/O (Prosthetics and Orthotics)
Does not apply

Where did you receive your wheelchair training? Check all that apply

Trainer Status

As a part of my organization I conduct wheelchair trainings

Contact Information

Organization/ University Name

Job Title

Secondary Email

Phone

Website

Please provide a valid web address which includes http://

Address*

Street Address, P.O. Box, etc Apartment, Suite, Unit, Building, Floor, etc City State / Province / Region ZIP / Postal Code Country

Newsletter Sign-up

I'd like to receive the newsletter

Sign-up to receive emails every 4 to 6 weeks, for a newsletter called “The Hub” for wheelchair related news from ISWP

Become a contributor to the wiki

I'd like to contribute

Contribute testing methods content.

Privacy Setting

Make my profile private

Making your profile private will prevent the general public from seeing your information. Organization Admins will still have access to your profile info.

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