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NURSING.com Conference and Speaking Engagement Request Form
NURSING.com and our Educators are often asked to participate in events all over the United States and Canada. We want to accommodate these requests as much as possible but due to limited time we are not able to meet all needs.
Please use this form to make a request for participation at your event and we will do our best to work something out.
It should be noted that NURSING.com will typically not attend Student Nurse Association Conferences unless one of our nurse educators has a speaking engagement and a booth is provided.
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* Indicates required question
Name of Your Event
*
Your answer
School or Organization Sponsoring the Event
*
Your answer
Contact Name:
*
Your answer
Contact Email:
*
Your answer
Date of Event:
*
MM
/
DD
/
YYYY
Location of Event:
*
Your answer
Anticipated Number of Attendees?
*
Your answer
How would you like NURSING.com to Participate
*
Check all that apply
Provide a Speaker (e.g. Jon Haws, RN Founder of NURSING.com or one of our other nurse educators)
Sponsor the Event
Booth
Provide Door Prizes
Provide other materials (i.e. totes)
Required
If a speaker is requested please provide information on the speaking engagement:
*
For example: keynote or other speaking slot, amount of time, beginning or end of the event, topic, requested speaker, etc.
Your answer
If you request NURSING.com to sponsor the event please provide information on sponsorship:
For example: price and levels of sponsorship, NUURSING.com benefits (marketing etc), speaking engagement included, etc.
Your answer
If a speaking engagement or booth is requested will your organization provide travel?
No
Yes
Clear selection
By what date do you need confirmation from NURSING.com?
*
MM
/
DD
/
YYYY
Please provide a link to any additional information
Your answer
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