RISE 2022 Registration
For more information on RISE, see
https://www.nursing.arizona.edu/rise
.
Name
First Name
Last Name
University NetID
Email
example@email.arizona.edu
Phone Number
-
Area Code
Phone Number
Emergency Contact Name
First Name
Last Name
Emergency Contact Number
-
Area Code
Phone Number
Starting Year
Program
PhD
Dual DNP/PhD
DNP Specialty
AGACNP
DNP-NA
FNP
INFO
MS-DNP (no specialty)
PMHNP
PNP
Food Allergies
Special Dietary Requirements
None
Vegetarian
Vegan
Gluten Free
Milk/Lactose Allergy
Egg Allergy
Peanut/Tree Nut Allergy
Mac or PC User?
Mac
PC
Drs. Jessica Rainbow and Les Dupont are hosting a writing retreat on Thursday (8/18) from 2 -3:50pm (see flyer attached to registration email for more information). This is an RSVP-only event. Please RSVP here if you are planning to attend
Yes
No
One of our goals for RISE is community building! We are planning social events as a part of RISE and could use some studentvolunteers to help lead groups for some of these events. Can we contact you to help lead a social event?
Yes
No
Do you have a poster you would like to present during the poster session?
Yes
No
Is the poster printed or electronic?
Printed
Electronic
Enter the title of the poster
Enter the authors of the poster
Enter the conference the poster was presented at and the dates
Submit
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