SimEducator II Registration Form 6/6/2014 8:00AM-1:00PM

Last Name(*)
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First Name(*)
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Email(*)
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Phone Number(*)
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Employer(*)
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Department(*)
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Credentials(*)
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(MD, RN, RT, PhD, etc.)

Prior simulation training(*)
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(ex: Summer Series, CMS)

How often are you using simulation as a teaching tool(*)
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How would you rate your level of simulation expertise(*)
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Please enter the following characters:(*)
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