Hello and Welcome,

Thank you for registering for the "Caring for Communities: Nursing Careers in Population Health" ZOOM workshop! Please complete the registration by Wednesday, May 1, 2024. The workshop will be from 9:00 am to 1:00 pm and will be recorded for educational purposes. ZOOM links will be sent the week of April 26, 2024.

In order to obtain continuing education credit for the workshop, you will be required to complete a questionnaire at the conclusion of the workshop. You will include your name and email address to assure we can send you a CE certificate. This information will be used by WCN only to report in aggregate the effect of the workshop.

If you have any questions, please contact Frank Kohel at the Washington Center for Nursing at info@wcnursing.org or call (206) 787-1200, ext. 101.

Sincerely,
Sofia Aragon, Executive Director
Washington Center for Nursing
SofiaA@wcnursing.org
(206) 787-1200

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* 1. Name

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* 2. Employer (if applicable)?

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* 3. School you are attending (if applicable)

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* 4. Email Address

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* 5. Gender Identity: How do you describe yourself now?

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* 6. What type of nursing program are you enrolled in now?

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* 7. Please indicate each of your degrees (select all that apply)

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* 8. Years of Experience Practicing as a Registered Nurse?

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* 9. Years of Experience as an ARNP? Not including your RN experience (if applicable)

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* 10. What is your Nursing Specialty?

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* 11. Have you ever been employed as Community/Population Health Nurse?

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* 12. I know what education is required to be a Community/Population Health Nurse.

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* 13. I can identify one core competency of a Community/Population Health Nurse.

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* 14. I believe I possess the knowledge necessary to be an effective Community/Population Health Nurse.

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* 15. I believe I possess the clinical experience necessary to become a Community/Population Health Nurse.

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* 16. I feel ready to become a Community/Population Health Nurse.

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* 17. What is your status as Veteran of the US Armed Forces?

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* 18. Was English a first language in your childhood home?

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* 19. Did either of your parents complete a college degree?

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* 20. Your Race/Ethnicity?  (Please check all that apply)

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* 21. Your Race/Ethnicity?

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* 22. Your Race/Ethnicity? (Please check all that apply)

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* 23. Your Race/Ethnicity?  (Please check all that apply)

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* 24. Your Race/Ethnicity? (Please check all that apply)

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* 25. Your Race/Ethnicity (Please check all that apply)

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