August 16, 2017 BRMC EARLY MATCH RN RESIDENCY Recruiting Event Registration Form

YES- Register me!
Location: BRMC on August 16, 2017 at 11:30AM - 3PM

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* 1. Contact Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. What school do you currently attend?

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* 3. When do you graduate?

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* 4. Did you attend clinical rotations at BRMC?

YES

NO

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* 5. Which units are you interested in?