Registration for Orientation for Directors of Nursing and Nursing Supervisors

Please Read!
Thank you for registering for the Orientation for Directors of Nursing and Nursing Supervisors training  to be provided at the NCPHA 2019 Fall Educational Conference on Wednesday September 25, 2019 from 2:30pm - 5:00pm.
 

 

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* 1. I have read and understand the above information.

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* 2. For registration roster purposes, please provide your full name (any identifying information will be kept separate from your
participant pre-assessment responses below).

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* 3. For registration roster purposes, please provide your email address.

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* 4. For registration roster purposes only, please provide your agency name.

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* 5. For attendance roster purposes only, are you a Registered Nurse (RN)?

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* 6. Please indicate your Public Health position.

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* 7. Please rate your confidence & knowledge level currently with the roles and responsibilities of the Director of Nursing/Nursing Supervisor position.

  Strongly Confident & Knowledgeable Confident & Knowledgeable Fairly Confident & Knowledgeable Not Confident & Knowledgeable at all
Prior to this training my confidence and knowledge level surrounding my duties of the Director of Nursing/Nursing Supervisor is

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* 8. Please rate your length of employment as a Director of Nursing/Nursing Supervisor

T