Presentation Request
Please complete this form to request a presentation in your area.
Contact Name (*)
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Contact Phone (*)
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Contact Email (*)
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Date of Presentation (*)
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Time of Presentation (*)
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Location of Presentation (*)
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Number of attendees (LPNs, RNs, and RPNs) (*)
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Topic of Presentation (ex: Scope of Practice of the LPN, Compentencies of the LPN) (*)
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Any concerns or issues that need addressing (ex: interprofessionalisn, collaboration, teamwork) (*)
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