Apply for 1:1 mentorship with Nurse Hilary
Name
First Name
Last Name
Email
*
example@example.com
College of Nurses designation and registration number
*
(Must be in good standing with the college of nurses)
How long have you been a nurse?
0-1 years
2-4 years
5-7 years
8 + years
How long have you been in aesthetic medicine?
Under 1 year
1-2 years
2-4 years
Are you currently injecting?
Yes, in a clinic as an employee
Yes, I'm self-employed
No (but I want to!)
Other
If you answered yes to the above question, how many clients are you seeing a week?
0-4
5-9
10-19
20+
Ideally, how often would you want to inject?
Full time (no other nursing jobs)
Part-time (have another nursing job)
Casually
What are you wanting to learn? What areas are you struggling in?
*
What is causing you the most frustration in your cosmetic injection journey?
*
What are your expectations of me?/What would make this mentorship successful for you?
*
A copy of RNAO, RPNAO, or CNPS insurance (this is a requirement to mentorship)
*
Browse Files
Drag and drop files here
Choose a file
(This is a requirement to mentorship)
Cancel
of
A copy of your introductory botox/dermal filler course completion (this is a requirement to the mentorship)
*
Browse Files
Drag and drop files here
Choose a file
(This is a requirement to mentorship)
Cancel
of
When would you like to start?
*
-
Month
-
Day
Year
Date
What mentorship period are you interested in?
One day
1 month
3 month
How do you hear about us?
*
Please Select
Google
Instagram
Referral
Other
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