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.

First Name

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* 1. First Name

Last Name

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* 2. Last Name

Email Address

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* 3. Email Address

Are you a current BJC employee?

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* 4. Are you a current BJC employee?

Status

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* 6. Status

Have you worked for BJC for more than 12 consecutive months?

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

I am currently working in a

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* 8. I am currently working in a

Which clinical discipline(s) interest you?

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

What is your current level of education?

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* 10. What is your current level of education?

Approximately how many college credits have you completed?

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

Have you successfully completed College Algebra?

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* 12. Have you successfully completed College Algebra?

Schedule preference

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* 13. Schedule preference

Potential Start Date

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* 14. Potential Start Date

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

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

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

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

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