Faith Community Nurse Network of the Greater Twin Cities · Foundations of Faith Community Nursing

Course Details

Registration Deadline: March 25, 2021

Cost: $425 + purchase of participant manual ($55)

$200 deposit due at the time of registration, balance due by April 8, 2021

Course Format: This is a virtual course that will be taught via Zoom and online self-learning modules.

Dates/Times:

9:00 AM - 4:00 PM (CST) each day

Thursday, April 8

Friday, April 9

Tuesday, April 20

Wednesday, April 21

Thursday, April 29

Friday, April 30

Contact Information

Name

*

First Name

Last Name

Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Email

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Verify Email

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Phone

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Professional Information

Nursing Credentials

*

Please check all that apply

RN (Registered Nurse)

BAN (Bachelor of Art in Nursing)

BSN (Bachelor of Science in Nursing)

MSN (Master of Science in Nursing)

NP (Nurse Practitioner)

DN (Doctor of Nursing)

DNS (Doctor of Nursing Science)

DNP (Doctor of Nursing Practice)

PhD (Doctor of Nursing Philosophy)

If other Nursing Specialties, please specify

Professional credentials other than nursing

Please include degree and field of study, e.g., BA Psychology

Faith Community/Organization Information

Faith Community/Organization Name

*

Please provide the name of the faith community or organization for which you will work or volunteer as a FCN.

Denomination

Faith Community/Organization Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

How did you hear about this course?

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If other, please specify

Amount

*

$200 - Deposit - Due upon registration

$225 - Balance after deposit - Due by April 8

$425 - Pay in full

$0 - PHS/Fairview (for office use only)

$

Recurring Payments

Scholarship Information

Please check here if you would like to receive information about scholarships.

Yes, please send scholarship information.

Foundations of Faith Community Nursing

Spring 2021

Contact Information

Professional Information

Faith Community/Organization Information