Mentoring & Training Application
With RN Lucy Garland
Name
*
First Name
Last Name
Email
*
example@example.com
Copy of your AHPRA registration
*
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A copy of your bachelor degree
*
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A copy of insurance (this is a requirement to mentorship)
*
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Number of years of nursing and in what areas? How long in aesthetic medicine?
*
A copy of your introductory injectables course completion
*
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Why did you apply for this mentorship?
*
What are you wanting to learn?
*
What are your expectations of me? / What would make this mentorship successful for you?
*
What is causing you the most frustration in your cosmetic injection journey?
*
When would you like to start?
*
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Month
-
Day
Year
Date
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