2023 Acute Care Program Resources Survey

Faculty Information

Please complete the below fields with information describing your acute care PNP program. If your University offers a primary care or a dual primary/acute care PNP program, please complete that application.

An in-process application cannot be saved. Please plan to complete this application in 1 session. You will be asked about accreditation dates, select course names/numbers/hours, number of clinical hours for MSN and BSN-DNP programs. We are also collecting additional information this year to assist programs.

Question Title

* 1. Contact Information

Your Name *

Your Title *

School Name

Your Email Address *

Question Title

* 2. Dean's Contact Information

Name and Credentials

Email Address

Phone Number

Question Title

* 3. Graduate Program Director's Contact Information

Name and Credentials

Email Address

Phone Number

Question Title

* 4. PNP Program Director's Contact Information

Name and Credentials

Email Address

Phone Number

Question Title

* 5. Additional Faculty Member's Contact Information. This faculty member must be approved to sign documentation to confirm exam candidate eligibility.

Name and Credentials

Email Address

Phone Number

Question Title

* 6. Program Contact Information

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 7. Degree(s) Awarded

MSN

Post-Graduate Certificate

BSN-DNP

Post-Master's DNP

Other (please specify)

20% of survey complete.