Covid Warrior Program - Hospital Partner Expression of Interest
The Angel Covid Warrior program is a unique opportunity to #ThankANurse for their contributions during the peak of the Covid19 pandemic. If you'd like to join this initiative, please enter your details below.
Your Name
*
First Name
Middle Name
Last Name
Your Designation
*
Department
Name of Hospital
*
Year of Incorporation
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Your E-mail
*
example@example.com
Mobile Number
*
Phone Number
Alternate phone number
URL of Hospital
Work Number
About your Institution
Please share relevant details about your hospital
Number of Nurses at your hospital/Clinic
*
0 - 20
21 - 75
76 - 250
250+
Other
Number of Nurses you're willing to commit to this initative
*
All
up 30%
Upto 50%
Undecided
Are you a designated Covid Hospital
*
Yes
No
Why are you interested in participating in the Covid Warrior Upskilling Program?
Submit
Submit Application
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