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HPNA Employer Partner Program

HPNA Employer Partner Program Application

Please complete the following application to become an Employer Partner with the Hospice and Palliative Nurses Association (HPNA). The information below provides us with Important information on your organization and how we can best serve you as a member of the Employer Partner Program. 
1.Organization name:
2.Do you have affiliates under different names that should be included?
3.In which state(s) does your organization operate?
4.Primary contact regarding our employer partner program:
5.Type of organization:
6.Which of the following are you interested in receiving discounted access to? (Check all that apply)
7.What are your primary goals in partnering with us?
8.How does your organization support certification or continuing education?
9.How many staff members are currently employed at your organization?
10.What percentage are currently HPNA members?
11.How many team members do you anticipate enrolling in our program within the next 12 months?
12.What percentage currently hold HPCC certification?
13.In the next 12 months how many staff do you expect to sit for certification?
14.How soon are you hoping to get started?
15.Anything else you'd like to share before our first meeting?
Thank you for your interest in HPNA's Employer Partner Program! A member of our Business Development team will reach out to the contact listed above to confirm your application and to discuss any further questions.