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.

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

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

* 3. What are your professional credentials?

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

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