Hello and Welcome,

Thank you for registering for the "So You Want to be a Professor" ZOOM workshop!  Please complete the registration by Friday, May 13, 2022.  The workshop will be from 9:00 am to 1:30 pm and will be recorded for educational purposes.  ZOOM links will be sent the week of May 13, 2022. 
 
In order to obtain continuing education credit for the workshop, you will be required to complete a questionnaire at the conclusion of the workshop.  You will include your name and email address to assure we can send you a CE certificate.  To determine the effectiveness of the workshop, we will also contact you one-month and six-months after the workshop.  We will ask you to complete a questionnaire to tell us how the workshop influenced your interest in becoming a nurse educator.  This information will be used by WCN only to report in aggregate the effect of the workshop.
 
If you have any questions, please contact Frank Kohel at the Washington Center for Nursing at info@wcnursing.org or call (206) 787-1200, ext. 101.
 
Sincerely,
Sofia Aragon, Executive Director
Washington Center for Nursing
SofiaA@wcnursing.org
(206) 787-1200

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* 1. Name

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* 2. Employer (if applicable)?

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* 3. School you are attending (if applicable)

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* 4. Email Address

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* 5. Gender Identity: How do you describe yourself now?

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* 6. What type of nursing program are you enrolled in now?

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* 7. Please indicate each of your degrees (select all that apply)

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* 8. Years of Experience Practicing as a Registered Nurse?

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* 9. Years of Experience as an ARNP? Not including your RN experience (if applicable)

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* 10. What is your specialty? Behavioral Health/Mental Health/Psychiatric Health/Other?

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* 11. Do you live in a rural community?

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* 12. Do you work in a rural community?

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* 13. Have you ever been employed as nursing faculty?

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* 14. I know what education is required to be eligible to teach in a nursing program at a community college.

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* 15. I know what education is required to be eligible to teach in a nursing program at a teaching university.

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* 16. I know what is required to be eligible to teach on the tenure track in a nursing program at a research intensive university.

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* 17. I know the difference between tenure track and non-tenure track appointments.

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* 18. I can identify one core competency of a nurse educator.

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* 19. I can identify at least one of the three components of the faculty role.

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* 20. I believe I possess the knowledge necessary to be an effective nurse educator.

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* 21. I believe I possess the clinical experience necessary to become a nurse educator.

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* 22. I believe I possess the ability to facilitate student learning.

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* 23. I am aware of the typical faculty salary for a nine-month academic year appointment.

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* 24. I feel ready to become a nurse educator.

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* 25. What is your status as Veteran of the US Armed Forces?

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* 26. Was English a first language in your childhood home?

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* 27. Did either of your parents complete a college degree?

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* 28. Your race? (Please check all that apply)

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