* First Name * Last Name * Title Select Associates Degree Diploma BSN NP CNM RNFA CRNFA® RNAS-C® Advanced Practice Other (Please specify to the right.) Other * Address * City * State * Zip * Email * Cell or home phone * How long have you worked in the OR suite? * How did you hear about NIFA? Select FACEBOOK AORN website link ANA website referral Board of Nursing website link Brochure left in OR Lounge CCI website link Direct Mail Email advertisement Fax posted in OR GOOGLE Bing Yahoo Internet Search NP Program Director Referral from Friend Other: * How soon do you need to COMPLETE the program? * Are you a perioperative nurse needing CNOR, or do you already have it ?
* How soon do you need to COMPLETE the program?
* Are you a perioperative nurse needing CNOR, or do you already have it ?
