Wednesday, February 7, 2018
1:00 - 2:00pm HST

 

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* 1. What is your name?  (Include First and Last Name)

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* 2. What are your credentials and/or licensure and job title?

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* 3. What is your email address?

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* 4. What is the name and address of the facility in which you work?

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* 5. Will you be attending this education session in person, or via web conference (i.e., GoToMeeting)?

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* 6. If this education is approved for nursing continuing education (CE), will you be applying for the 1.0 contact hour?  (Respond Yes or No)

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