Culture Advantage Course Evaluation II

1. Thank you for taking a Culture Advantage course.

If you are taking this course for contact hours, state boards of nursing require the following information:

Name as listed on your license.
Title
State of Licensure
License number

Please make sure you provide the complete information, or we will not be able to report completion of the course to the licensing boards. Thank you.

Question Title

* 1. For security reasons, please answer the following:

Name:

Estimate the amount of time spent on the course: (Readings, exam and evaluation)

Title (RN,LPN, etc)

Question Title

* 2. State and license number: (If not provided during registration.)

Question Title

* 3. If this is for a teleclass, please enter the telephone number you were calling from:

Question Title

* 4. Which course are you evaluating (a separate one is required for each course):

Cultural Competency: The Building Blocks

Actions Speak Louder

I Hate Shots:Flu

Depression in Older Adults

Cultural Competency II:

Other (please specify)