Deaconess High School Pre-Nursing Event Registration Form Question Title * 1. Please enter your full name Question Title * 2. Please enter your phone number Question Title * 3. Home Address (optional) Question Title * 4. Please enter your email address (required) Question Title * 5. Where are you going to high school (senior/junior)? Castle High School Boonville High School Tecumseh High School Evansville Christian High School Other Question Title * 6. If you selected "other" above, please the list high school name. Question Title * 7. Are you interested in pursuing a career in nursing? Yes No Question Title * 8. Can you confirm your attendance at the event? The event will be held on April 10th from 6pm-8pm at Deaconess Gateway Hospital on the 3rd floor in the Gateway Pavilion room. (Please RSVP to let us know if you’ll be able to join us.) Yes, I'll be there! Unfortunately, I won't be able to attend this event, but please keep me in mind for any future events Question Title * 9. If you RSVP "yes" to this event, please list how many students and parents/guardians will be in attendance. Example: Students: 1, Parents: 2 Question Title * 10. Would you like to take a tour of the nursing units at the Gateway campus? Yes No Done