3rd Annual National Advanced Practice Provider Week Organization Registration

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Dear Advanced Practice Leaders,

Based on feedback from many of the top APP employers nationally, a team of Advanced Practice leaders across the country are thrilled to coordinate National APP Week on the 4th week of September! This year's celebration will be September 23rd to September 27th, with UT Southwestern Medical Center being the host organization.

This is a great opportunity for all of us to celebrate together and recognize APPs across the nation in order to create more awareness and highlight the importance of a unified model for Advanced Practice. Our intention is to support the many organizations who celebrate APP roles collectively by coordinating a national celebratory week. This should not dimmish the individual national celebratory weeks for the various Advanced Practice roles.

Please limit to one registration per organization or system.

Email *

Name of Organization. Please type as you would like it to be published. *

Organization City and State *

Name of Point of Contact *

Email of Point of Contact *

How did you hear about National APP Week? *

Please confirm your organization's participation in 2024 National APP Week. *

Yes, my organization will coordinate APP Week recognition during September 23-27.

No, my organization will not be participating this year, but would like to next year.

No, not interest

Other:

Please select the roles you will be celebrating. *

Nurse Practitioners

Physician Assistant

Clinical Nurse Specialist

Certified Registered Nurse Anesthetist

Certified Nurse-Midwives

Certified Anesthetist Assistant

Other:

Required

Total Number of APPs (ex. employed, per diem, contracted, etc.) *

Are you in agreement with us listing your organization's name among the large list of organizations that are participating? This list will be used for event flyers, social media posts, and other marketing efforts. *

Yes

Other:

Would you or someone representing your organization like to participate in the Awards Committee or the Events Committee? If so, the Committee Chair will contact you for more information. *

Yes, please complete the survey https://forms.gle/VqtNXL22nv9LzL288

Additional Information

A copy of your responses will be emailed to the address you provided.

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