IMO Nursing Workshop

IMO Nursing Workshop

NOVEMBER 9-11, 2026 REGISTRATION FORM
Thank you for taking the time to register for IMO Nursing Workshop/Training. Please note that we have LIMITED seats available. Our class size is intentional so we can provide the best quality training. Please fill out and answer all questions. You will be contacted for final acceptance.

IMPORTANT INFORMATION: Attendees/Students are responsible for feeding, accommodation, & transportation during this event. IMO will cover the cost of the training.

Workshop Date: November 9 - 11, 2026.

Workshop Address: Jos, Plateau State.

ATTENDEE INFORMATION
Choose a project:
STANDARDS OF CONDUCT AND BEHAVIOR
Our actions and behavior will profoundly impact people more than what we say to them. Be mindful of your behavior and model it upon that of Christ.
We do not want to be a stumbling block to others, nor do we wish to give offense and defeat our purpose by acting in a way that makes us look small or hypocritical.
We have a responsibility to lead by example and act as ambassadors.

We ask that you abstain from the use of alcohol, tobacco, and illegal drugs, from attending clubs and bars, and from any immoral behavior.
All participants in the IMO Nursing Workshop are expected to uphold these standards of conduct. The IMO Leadership Team is authorized to dismiss anyone who violates these standards of conduct and behavior immediately.
PLEASE WATCH THIS SHORT VIDEO: IMO is providing Nursing Workshops/Education to improve the standard of nursing practice in Africa.
REGISTRATION FORM
Name:

First NameMiddle NameSurname Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: 0000 000 0000.
E-mail
example@example.com
Date of Birth

DayMonthYear
Age:
Sex?
Why are you pursuing a career in nursing?
Are you a practicing Nurse?
Do you have a current practicing license?
What type of specialty nurse are you?
How many years have you been a nurse?
Have you ever attended IMO Nursing workshop/training? If so, what year?
Have you ever volunteered for IMO Medical Missions? If so, what year?
Have you ever volunteered for other Medical Missions?
If selected, are you available for the entire workshop/training?
How did you hear about the IMO Nursing Workshop?
Marital Status:
Religious Affiliation:
EMERGENCY CONTACT INFORMATION
Name

First NameSurname Name
Phone Number
Please enter a valid phone number.Format: 0000 000 0000.
Email
example@example.com
Relationship?

Other
PRACTICING NURSES
REQUIREMENTS: All applicants and all Medical Professionals must provide the following.
• Copy of professional diplomas.
• Nurses and Physician’s Assistants: Copy of Current license.
OTHER INFORMATION
Upload a Copy of Professional Diplomas/Current license

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STANDARDS OF CONDUCT AND BEHAVIOR

REGISTRATION FORM

EMERGENCY CONTACT INFORMATION

PRACTICING NURSES

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