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Clinical Faculty Academy Toolkit
Please fill in the survey below to receive the password for the toolkit.
Thank you!
Clinical Faculty Toolkit Survey
First name
*
Last name
Email
*
Title
*
Organization
*
Role in Organization
*
State
*
Settings in which you work
*
Acute Care
Ambulatory Care
Ambulatory Surgery Center
Assisted Living Facility
Community Health
Correctional Facility
Diagnostic Testing Center
Dialysis Center
Emergent/Urgent Care
Home Health
Hospice
Insurance Claims
Mobile Care Unit
Nursing Home/Extended Care
Occupational Health
Policy/Planning/Regulatory/Licensing Agency
Public Health
School Health Services K-12
School of Nursing
How do you intend to use the toolkit?
*
Classroom Presentation/Workshop
Online/Self-paced (Asynchronous)
Live Virtual/Webinar (Synchronous)
Small Groups (1-10)
Large Groups (more than 10)
Other
Submit
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