1. Purpose statement

NIP-IT Purpose: This creative web-based curriculum is designed to increase knowledge and correct misperceptions about immunizations and vaccine preventable diseases; sharpen immunization administration skills and positively influence attitudes in order to increase immunization rates.

Write your first name and last name as you would like it to appear on the Certificate of Successful Completion.

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* 1. Write your first name and last name as you would like it to appear on the Certificate of Successful Completion.

Write the e-mail address where you would like the Certificate of Successful Completion mailed.

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* 2. Write the e-mail address where you would like the Certificate of Successful Completion mailed.

What are your professional credentials?

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* 3. What are your professional credentials?

Why are you seeking continuing nursing education? (Check all that apply.)

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* 4. Why are you seeking continuing nursing education? (Check all that apply.)

How did you hear about NIP-IT?

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* 5. How did you hear about NIP-IT?

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