OSCA APP Application Form

OSCA Advanced Performance Pathway
Date of application

DayMonthYear
Essential requirments:

Full UK OSCA Membership

GOsC Registration

Registered Osteopath

Relevant supporting documentation provided

(Student/Overseas/Associate OSCA Members are not eligible for Level 1/2/3)
APP Level applying for*
Individual requirements of each level: http://www.osca.org.uk/#!advanced-pathway/c21hl
OSCA Membership Number*
Login in to find your membership number www.oscamembers.wildapricot.org
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number*

Area CodePhone Number
GOsC Registration Number
Graduation Year
Please list any special interests or experience you have in sports care:
How many years have you been qualified as an Osteopath*

12345678910+
What sports-care associated CPD and further education development have you engaged in since graduating as an Osteopath (Highest level)?

PG CertPG DipMScPhDTeaching/PublicationN/AOther
Please list all relevant professional qualifications:*
*

Upload Supporting Documents

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How many hours have you spent engaged in sports care outside of your regular practice? This may include pitch-side, working as part of a medical squad, consulting, touring with teams, strength & conditioning, providing player or medical team education, other (please specify)

More than 50 hoursMore than 100 hoursMore than 150 hoursMore than 200 hoursMore than 250 hoursMore than 300 hoursMore than 350 hoursMore than 400 hoursMore than 500 hoursMore than 600 hoursMore than 700 hours

Please upload details of your sports care experience using the sample format below.

Dates	Role	Description/Further Details	Hours	Contact
eg: 2008-2011	Osteo, local rugby team (name)	Work pitchside, pre+post-match every Sat during season, and 2 hours on Tues night training = 5hrs/wee accross 1x30week season	150	Bob Smith - Team Coach 07739425687bob@gmail.com

*

Upload Supporting Documents

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For Office Use:
Years qualified score
CPD/Education score
Hours score
Total score
Comments (eg: needs review, documentation required, rational for decision)
Should be Empty:

OSCA Advanced Performance Pathway