Nursing Technical/Allied Health Medical Biotechnology and Life Sciences

Clinical Faculty Academy

Make A Difference in Kansas City Health Care

The Clinical Faculty Academy is a two-day conference designed to help prepare registered nurses for their important roles as clinical instructors in area nursing programs. The Academy was created through a collaborative effort between nursing schools and hospitals in the Kansas City metropolitan area. There is no fee to participate in the Academy.

If you have already registered and would like to cancel your registration, click here.

Please complete the following form to register for the Clinical Faculty Academy.

* required fields

First Name*	Last Name*
Title/Work Role/Department
Hospital
School
Work Phone	Home Phone
Cell Phone	Pager
E-mail*
Home Address*
City*	State* ZIP*

Highest Degree Earned* BSNMSNOther
Expected Graduation Year for MSN
Have you worked as a clinical educator?* Noless than 1 year1-5 years5+ years
Age Category* 20-2930-3940-4950 and older
Date Attending Clinical Faculty Academy* Jan. 8-9, 2009, St. Joseph Medical CenterJan. 9, 2008, Post-Conference (Morning Session)- St. Joseph Medical Center
If you have special requests, including physical or dietary accommodations, please list them in the following box.