Registration Form : Extended Learning / TXST Online : Texas State University

Thank you for your interest in Dr. Jim Fink’s Aerosol Medicine Training Program, designed and taught by Dr. Arzu Ari, Regent’s Professor and Associate Dean for Research at Texas State University.

Please complete this form thoroughly to help us evaluate your suitability for the program. All information provided will remain confidential and be used exclusively for the selection process.

Professional Background

Experience with Aerosol Medicine (if any)

Have you previously worked with aerosol therapy devices? *

If yes, please describe your experience

0/1000

Motivation and Commitment

How do you plan to apply the knowledge gained from this program in your clinical practice? *

0/2500

This program requires participants to complete daily course assignments on time. Are you willing and able to commit to this requirement? *

Yes

Additional Information

Do you have access to the following tools and resources?

Is there anything else you would like to share about your background or interest in the program? *

0/2000

Declaration and Agreement

By signing below, I confirm that the information provided is accurate to the best of my knowledge. I understand the commitment required for this training program and agree to complete all assignments and participate actively.

Thank you for completing this registration form. Selected applicants will be contacted via email with further details about the program. Please click SUBMIT below.