Clinical Education Interest Survey

Thank you for sharing information that will help direct BILD in providing opportunities for education that will support clinical roles. Please feel free to share this survey with other interested BJC employees.

* 1. First Name

* 2. Last Name

* 3. Email Address

* 4. Are you a current BJC employee?

* 6. Status

* 7. Have you worked for BJC for more than 12 consecutive months?

* 8. I am currently working in a

* 9. Which clinical discipline(s) interest you?

* 10. What is your current level of education?

* 11. Approximately how many college credits have you completed?

* 12. Have you successfully completed College Algebra?

* 13. Schedule preference

* 14. Potential Start Date

* 15. Please briefly explain why you are interested in pursuing further education that would lead to a career in a clinical area?

* 16. Is there any area of clinical education not addressed here that BJC should consider including in future academic partnerships?

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