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Advertiser Pre-Approval Application

๐—œ๐—ป๐˜€๐˜๐—ฟ๐˜‚๐—ฐ๐˜๐—ถ๐—ผ๐—ป๐˜€ Before you start this application, please carefully review our Advertiser & Sponsor Policy at https://aptapelvichealth.egnyte.com/dl/01VAHTYsFg If you are a prospective sponsor or advertiser, please complete this form for pre-approval to advertise through the Academy of Pelvic Health Physical Therapy for approval consideration. Upon submission, please allow for 7-14 business days for our Board of Directors to review your application. The Board of Directors reviews all advertiser pre-approval applications to ensure that the product/service being advertised is appropriate and aligns with the Academyโ€™s mission. ๐—œ๐—บ๐—ฝ๐—ผ๐—ฟ๐˜๐—ฎ๐—ป๐˜ ๐—ก๐—ผ๐˜๐—ฒ ๐—ฅ๐—ฒ๐—ด๐—ฎ๐—ฟ๐—ฑ๐—ถ๐—ป๐—ด ๐—–๐—ผ๐—ป๐˜๐—ถ๐—ป๐˜‚๐—ถ๐—ป๐—ด ๐—˜๐—ฑ๐˜‚๐—ฐ๐—ฎ๐˜๐—ถ๐—ผ๐—ป ๐—”๐—ฑ๐˜ƒ๐—ฒ๐—ฟ๐˜๐—ถ๐˜€๐—ฒ๐—ฟ๐˜€ The Academy does not permit advertising of outside continuing education courses geared toward Physical Therapy professionals unless a mutual agreement or contractual arrangement has been made between another nonprofit organization and the Academy. Sometimes, APHPT may promote other APTA/ Academy continuing education events or may partner with other professional discipline membership associations to mutually advertise each othersโ€™ conferences. Some Entities sell a diverse arrangement of products, services, and continuing education courses. If approved, the Entity may only advertise their approved products or services but not their continuing education courses geared toward Physical Therapy professionals. If you are an educator and interested in offering your course through the Academy, please go to https://www.aptapelvichealth.org/develop-a-course If you are a company that wants to advertise a job opening, please do not fill out this form and instead, please visit https://www.aptapelvichealth.org/job-shoutouts or https://careers.aptapelvichealth.org. If you have any questions, please contact us at https://www.aptapelvichealth.org/contact-us.

Please select today's date.
Full legal name of the company.
Full name of the key contact / representative
Email address of the key contact / representative
Phone number of the key contact / representative
2. Product or Service Description
Please list each product you wish to advertise along with a detailed description of each. Please include any links to videos and product or service webpages.
  • {name}
Product Category
  • Apparel
  • Pelvic Floor Products
  • Books/Magazines
  • Continuing Education
  • Educational Equipment
  • Biofeedback & E-Stim
  • Mobile App
  • Service provider / contractor (i.e. attorney)
  • Mobile App EHR/EMR
  • Online Fitness
  • Lubricant, Lotion, Topicals
  • Other
Target Audience
3. Academy Mission Alignment
How do you align with the Academy's vision and mission? We seek advertisers who are complementary to physical therapy. As a global authority in abdominal and pelvic health, we transform society by empowering professionals and people everywhere. Our mission is to advance global excellence in abdominal and pelvic health through evidence-based practice, innovative education, research and social responsibility.
  • {name}
4. Evidence-Based
If appropriate, please provide adequate amount of specific and at least moderate quality evidence-based research supporting product or service, namely, at least three peer-reviewed journal articles within the last 10 years.
  • {name}
5. Relevance
The advertising company must be relevant to the Academy PT, PTA, and/or SPT membership and to the practice of abdominal and pelvic health physical therapy. We do welcome advertisers that also want to promote their products, services, events to consumers (public). Please describe your relevance to the Academy, its membership, physical therapists, or the patients we treat.
  • {name}
6. Ethics
The advertising company must demonstrate ethical business practices. Please share with us how you currently demonstrate ethical business practices.
  • {name}
Supplemental Files
Please attach any files, product catalogs, research articles, or other helpful documents to strengthen your application.
Attach file
Drop files here
Company Logo
In case there are companies with a similar name, this will help us differentiate you from similar companies and ensure we have your proper logo.
Attach file
Drop files here
How did you initially hear about the Academy?
Anything else we need to know?
Optional
  • {name}

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