Clinical Reasoning Conference Registration Form

Registration Form for Conference August 12, 2014“Clinical Reasoning Across The Curriculum to Prepare Students for Professional Practice” Name:________________________________________________________________ Address:______________________________________________________________ Phone #:______________________________________________________________ E-mail:________________________________________________________________ Cost: $100 (includes lunch, etc.) Please make all checks payable to: Rhodes State College, Division of Nursing; Contact Kathy Freed @ 419-995-8275 if you have any questions (Kathy will return on July 14th, 2014) Please mail form and registration form to: Kathy Freed, NSG. Secretary Rhodes State College/ Cook Hall 224 4240 Campus Drive, Lima Ohio 45084

Clinical Reasoning Conference Registration Form

Clinical Reasoning Conference Registration Form

Presentation Transcript

Name Last name

Class Name, Instructor Name

Class Name, Instructor Name

Class Name, Instructor Name

Class Name, Instructor Name

Test Moderator: Name Test Partner: Name Designers: Name, Name

Common Name Scientific Name your name

Class Name, Instructor Name

Your Name Class Name

Advisor Name | Firm Name

Name 1 Name 2

First name Last name

Name lookup (name control)

Name: _________________________ Name: _ Date: _______

YOUR NAME MENTOR’S NAME TEACHER’S NAME

Player Name: Parent Name:

Name #1, Name # 2, Name #3, Name #3 School Name & Address

First Name Last Name

First Name Last Name, Title; First Name Last Name, Title; First Name Last Name, Title

Presenters Name Name Date

Clinical Reasoning Conference Registration Form