RN/Intern Demographics: This form provides registration into the Internship Project and establishes a database for outcomes analysis related to the Internship Project. All information that is collected via this form, other Internship documents, and/or exit interview will be held in strict confidentiality. It will be shared only in statistical format - without identifying data. As part of Internship Project data collection and outcomes tracking, the information you include below might be used to contact you at least annually for 2 to 3 years post Internship. If you work for less than 2 years at the Internship facility, an exit interview is required for the sake of recruitment/retention tracking. If an exit interview is not completed with your hiring facility, please contact the project director at email@example.com or firstname.lastname@example.org or phone 802-674-7069.