Yes, I am interested in joining the ATL-VA Nurses Rally on Thursday, 8/31! (check all options that apply)
I am a RN/NP at the ATL-VAHS
I work at the ATL-VAHS but not as a RN/NP
I am a Veteran
I am a Community Supporter (e.g. friends & family, labor, community group)
I want to help with this campaign, please contact me
If you are an RN/NP at the ATL-VA, please list what Unit, Cboc (or CCC) you work in:
Name
First Name
Last Name
Email
example@example.com
Cell
Please enter a valid phone number.
Please credit the person by name who asked you to sign-up so they can get appreciated for their organizing efforts!
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