RAM Host Confirmation Survey

1. RAM Host Confirmation

If the details of your event are not complete at this time please email Nefertari Carver at ncarver@aarp.org with additional information as it becomes available.

Note: The survey can only be completed once per each user.

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* 1. Will you be hosting a Regional Awareness Meeting (RAM)* on November 30, 2010 during the IFN National Summit?

* Regional Awareness Meetings are regional/state/local meetings held in conjunction with the IFN National Summit on Advancing Health through Nursing on November 30, 2010. The meetings will include a live webcast of the National Summit and will allow time for discussion about the recommendations. These meetings will provide an opportunity to engage a broader group of nurses/nursing leaders and other key stakeholders in IFN implementation efforts.

Yes

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* 2. Name of Host (first and last name):

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* 3. Name of Co Host (if applicable):

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* 4. Host Email Address:

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* 5. Event Location:

Address:

Address 2:

City/Town:

State:

ZIP:

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* 6. Time of Awareness Meeting (start and end times, specify time zone):

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* 7. May we post the location and details of your event including your name and email address on the Future of Nursing website for the purpose of promoting the event?

Yes