CNM - 2024 Virtual Symposium registration stipend funding

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* 1. Please add your info here:

First name:

Last name:

Email address:

Academy #:

# of years as a CNM member:

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* 2. Please check your Academy membership category.

Active

Student

Retired

International

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* 3. Are you currently registered for the virtual symposium?

Yes

No

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* 4. Have you previously attended the CNM Symposium? (check all that apply)

Yes - in person

Yes - last year's virtual event

No

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* 5. Please include a brief statement here on your goals or expected outcomes for attending CNM's Virtual Symposium.