RC DAP-DD Information Session Registration

1

Your name* This field is required.

First Name

Last Name

2

Your email address* This field is required.

example@example.com

3

Your phone number

4

If you are currently in a respiratory therapy academic program, what is the name of your institution?

5

If you are currently a respiratory therapist, what is your current place of employment?

Hospital

Clinic

Military/government

Educational institution

Other

6

If currently employed as a clinical provider, for how long have you been a respiratory therapist?

Less than one year.

1-5 years.

6-10 years.

More than 10 years.

7

What is your primary motivation for exploring degree advancement?Please select all that apply.

Higher salary

Earn credentials in advanced areas of respiratory therapy.

Advancement in the profession and/or department.

Added job security.

Other