Application


Application form for an basic course Orthopedic technician
Please fill in all the rubrics marked with a star *
City of the workplace:
Personal data
*Name surname : Pole wymagane.
*Occupation/specialization : Pole wymagane.
*Date of birth : Pole wymagane.
Home address: :
*Street : Pole wymagane.
*City/Zip : Pole wymagane.
*Phone: : Pole wymagane.
*Email: : Pole wymagane.
Place of employment :
*Name of the workplace : Pole wymagane.
*Street : Pole wymagane.
*City/Zip : Pole wymagane.
*Phone: : Pole wymagane.
*Email: : Pole wymagane
*Work experience. Short description : Pole wymagane.
*Member of the medical team treating CP children : Tak     NIE Pole wymagane.
Medical team consists of: MDs physiatrist, neurologist, orthopedic surgeon, Therapists: PT physiotherapist, OT occupational therapist and CPO orthopedic technician.
*Years of working with CP children Pole wymagane.
*Amount of hours per week: Pole wymagane.
Are you familiar with:
*central movement disorders with CP : Tak    NIE Pole wymagane.
*goal oriented treatment : Tak    NIE Pole wymagane.
*gait analysis : Tak    NIE Pole wymagane.
*knowledge of gait patterns 1,2.3.4 &5 with CP : Tak    NIE Pole wymagane.
*doing fysical examination of gastrocnemius, : Tak    NIE Pole wymagane.
*soleus dorsiflexion, pro/supination : Tak    NIE Pole wymagane.
*correction of footdeformities using 3 point pressure groundreaction forces and joint torques : Tak    NIE Pole wymagane.
*casting & correction of plastermodels: Tak    NIE Pole wymagane.
*working with polypropylene in dorsal afo / hinged: Tak    NIE Pole wymagane.
*AFO fitting , delivering AFO's and tuning AFO/ shoe: Tak    NIE Pole wymagane.
*Knowledge of English
Good : Pole wymagane.
Sufficient : Pole wymagane.
Insufficient : Pole wymagane.


Copyright © 2011