TheraBand Academy Logo Divider
  • Change language button
    • Translate this page:
  • Email site button
  • Print site button
  • Change font size button

Application Form for Supported Research

If you are interested in applying for product support for your research project, please complete the form below. Only electronic submissions via this webpage are accepted. Please read our research policy before filling out this form. We will reply in approximately 2 weeks. If you do not receive a reply by then, contact us.

ALL RESEARCHERS MUST FIRST BE REGISTERED WITH THE ACADEMY. Login or create your free account here.

Title of Project:
Primary Investigator:
Institution:
Email:
Phone Number:
Primary Contact:
Contact Email:
Contact Phone Number:
Faculty Advisor:
Faculty Advisor Email::
Street Address:
City:
State / Province:
Postal Code:
Country:
Type of Study:
Type of Study:
Non-technical Abstract (2000 charcter limit) Include significance, purpose, methods, and specific use of our products:
Specific Protocol (2000 charcter limit) including exercise prescription and progression with our products
Or Email the protocol to ppage(at)thera-band.com. Please reference your Project Title, Investigator Name, and Institution:
IRB Approval:
Our Resources Requested: (2000 charcter limit)
Anticipated Start Date:
Anticipated Completion Date:

I have read and understand the Thera-Band® Academy Research Policy, and I agree to the guidelines for supported research.