2025 LEAP Basics Course Application

LEAP Basics Online Course: 2025 Application

LEAP BASICS will take place April 25 - 26, 2025 from 07:00 - 09:30 US Central Time
Eligible candidates must be a current MDS member in good standing in order to be eligible for this program.

I. Eligibility
Are you currently a member of MDS?*

YesNo
At the time of application, I am between the age of 30 – 45.*

YesNo
II. Applicant Information

Please provide the contact information that aligns with your My MDS Account.
Full Name*

First NameLast Name
E-mail*
Designation (MD,PhD, etc)*
Gender*
Date of Birth*

MonthDayYear
Institution*
City*
Country of Residence*
MDS Regional Section*

AOS - Asian and Oceanian SectionES - European SectionPAS - Pan American SectionAfrica - MDS Africa
III. Application Questions
A. Describe why you are a good candidate for the LEAP Program.*
(MAXIMUM 200 WORDS)
B. What do you hope to gain from this program?*
(MAXIMUM 200 WORDS)
C. Will you be applying to participate in the LEAP Advanced Program?*
You can learn more about the LEAP Advanced Program taking place prior to the MDS Congress on the MDS LEAP Website. https://www.movementdisorders.org/MDS/Education/Courses/MDS-LEAP-Program.htm
This question is for information only. It is not an application requirement to have interest in participating in the LEAP Advanced program.
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LEAP Basics Online Course: 2025 Application