Waitlist-Fundamentals of Newborn Assessment and Care (FONAC) June 13, 2024
*Online Course* 
Please complete this form to be added to the waitlist for the June 13 class.
The target audience is registered nurses working OB, PP/MB, NB Nursery, Level II and Level II-e Nursery with a minimal clinical perinatal experience/tenure of 2 weeks (NOT NICU RNs).  This course is offered only to these RNs working within Illinois Perinatal Networks.   7.75 Contact Hours will be award to Nurses who attend the entire class with cameras on and complete an evaluation. 

Important Information: - Class size is limited to 35 registered participants. As cancellations occur we will move down the waitlist in order of entry until June 6
1. All participants must individually be logged onto a device with their own name in the class virtual platform. All participants must be able to access Virtual Platform and Google forms. If you are using a computer at your organization for the class, check to make sure Zoom and Google forms can be accessed with your IT department.
2. During registration, the student will fill out an attestation that is required to attend the course and obtain the CEUs.
 3. By completing the registration form participants attest to following the rules and obligations listed during the teleconference of the Fundamentals of Newborn Assessment and Care class to obtain contact hours. 

This class is being Hosted by University of Chicago Medicine Perinatal Center. For any questions related to this waitlist or to cancel your waitlist entry for the June 13, 2024, course please contact via email Donna Lemmenes Donna.lemmenes@uchicagomedicine.org


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Email *
Name *
Hospital Email Address *
Cell Phone Number *
Hospital of Employment
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Unit of Employment
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Total Months or Years of RN Experience, please specify months or years in answer
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Manager's Name
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Manager's Email Address
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Educator's Name
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Educator's Email Address
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By completing this registration, you are attesting to:
- I will be able to access the virtual format and Google forms. 
- If using a work computer, I will check to make sure these are accessible. 
- I have a computer with video camera (webcam) and speakers 
- I will remain logged on with my camera on for the duration of the course. 
- I will participate in all portions of the program including learner questions, discussions, case studies and completion of the evaluation. 
Please note that if later than 15 minutes to class you will not be able to enter the Virtual Meeting. (So please try to log in early to troubleshoot any technical issues that may arise)
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A copy of your responses will be emailed to the address you provided.
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