Spring 2025 Foundations of Faith Community Nursing Course

Foundations of Faith Community Nursing Course

Registration form
Winter/Spring 2025 Offering

Course Information
- Sundays, 2/23, 3/16, 4/6
  
  2:00-6:30 p.m. (Central)
  
  AND
  
  Thursdays, 3/6 & 3/27
  
  8:00 a.m.– 4:00 p.m. (Central)
  
  All 5 sessions are required.
- Cost: $435 (does not include cost of participant manual.) A deposit of at least $200 is due at registration with the balance due by the first day of the course. The full $435 can be paid at registration. We have limited partial scholarships available with preference given to MN nurses and those nurses who will be serving in communities of need. If you'd like more information on scholarships, please contact Sondra at sondra@fcnntc.org or Sam at sam@fcnntc.org before completing this form.
- Contact hours: 37.5
  
  This course is jointly provided by Faith Community Nurse Network and the Spiritual Care Association Nursing Division. The Spiritual Care Association Nursing Division is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. ANCC Provider Unit # P0623. ANCC contact hours are accepted in all states. If you are an international participant consult your accrediting body.
Class attendance policy: Due to ANCC requirements, students must attend all classes. Because of the highly interactive nature of the course, we cannot excuse students except in the case of emergencies (illness, attendance at funerals for next of kin) In those cases, we will allow a student to make up no more than 3 modules by viewing recordings and completing assignments related to those modules. The status of FCN cannot be granted unless the student meets these attendance requirements. Please do not register for the course if you’re unable to attend the 6 sessions.
Contact Information
Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number*
E-mail Address*
Faith Community / Organization Information
Name of Organization/Faith Community*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Denomination
Additional Information
How did you hear about this course?*
If other, please specify:
RN License Number*
Refund Policy
Cost will be refunded, except for $200 deposit, if request is received no later than 2 weeks before the start of the course.
Payment
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Deposit Only$200.00

Total Fee$435.00

Collaborative Partner RN (for office use only)$ Free
Pre-approved RNs from PHS, M Health Fairview, Lyngblomsten, Ecumen, or Benedictine

Scholarship Recipient (FCNN)$285.00
Pre-approval required.

Scholarship Recipient (Pre-Approved)$100.00
Scholarship $335

Scholarship Recipient (Shine-A-Light)$ Free
Pre-approval required. This is for individuals who will be serving in diverse communities.

Quantity

Invoice Me$ Free

Total $0.00
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