AANA 'Grade 1 View' Podcast Guest Host / Topic Submission

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1. Name (Required.)

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2. Preferred Email (Required.)

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3. Cell Phone (Required.)

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4. CRNA Program Year (Required.)

First year

Second year

Third year

Recent Grad

Other (please specify)

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5. CRNA Program / School (Required.)

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6. What topic would you like to discuss on the podcast and why? (Required.)

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7. Are you seeking to be a guest/guest host? (Required.)

I am interested in being on the podcast as a guest / guest host.

I am not interested in being recorded, but this topic is important to me.

I have a suggestion for a guest on this topic:

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8. Please provide any additional information relevant to this request.