You must have JavaScript enabled to use this form. 1 Start 2 Complete Clinical Education (Virtual Presentations). Please select topics you would like to see the chapter provide education sessions on and please add any clinical topics not listed to the comment box: Diabetes Concussions/Neuro Wound Care Palliative Care/MAiD Renal/Dialysis Inpatient Med-Surg Issues Other: Clinical Education (Virtual Presentations). Please select topics you would like to see the chapter provide education sessions on and please add any clinical topics not listed to the comment box: Other: How likely would you be to attend virtual clinical education presentations? 1 (very unlikely) 2 3 4 5 6 7 8 9 10 (very likely) Unique nursing opportunities (Virtual Presentations). Please select topics you would like to see the chapter provide information sessions on and please add any topics not listed to the comment box: Travel Nursing Remote Community Nursing Clinical Nurse Specialist (CNS) Nurse Practitioner Other: Unique nursing opportunities (Virtual Presentations). Please select topics you would like to see the chapter provide information sessions on and please add any topics not listed to the comment box: Other: How likely would you be to attend virtual unique nursing opportunity presentations? 1 (very unlikely) 2 3 4 5 6 7 8 9 10 (very likely) Inter-professional roles (Virtual Presentations). Please select topics you would like to see the chapter provide information sessions on and please add any topics not listed to the comment box: Pharmacy - Medication topics Paramedics - Emergency Transport Medicine Human Resources - Recruitment and Retention Other: Inter-professional roles (Virtual Presentations). Please select topics you would like to see the chapter provide information sessions on and please add any topics not listed to the comment box: Other: How likely would you be to attend virtual inter-professional presentations? 1 (very unlikely) 2 3 4 5 6 7 8 9 10 (very likely) Political Action (In-person or Virtual Activities). Please select political activities you would like to see the chapter participate in and please add any topics not listed to the comment box: Invite MPP to speak at a meeting Engage in letter/email campaigns about specific topics Participate in organized rallies Use social media accounts to promote issues Other: Political Action (In-person or Virtual Activities). Please select political activities you would like to see the chapter participate in and please add any topics not listed to the comment box: Other: How likely would you be to participate in political action activities (in person or virtual)? 1 (very unlikely) 2 3 4 5 6 7 8 9 10 (very likely) Community Service (In-person Activities). Please select community service activities you would like to see the chapter participate in and please add any topics not listed to the comment box: Serving dinner at Shelter house Participate/Host Fundraising walk/run Partner with other organizations already doing public service work (e.g. Rotary) Other: Community Service (In-person Activities). Please select community service activities you would like to see the chapter participate in and please add any topics not listed to the comment box: Other: How likely would you be to participate in community service activities (in person)? 1 (very unlikely) 2 3 4 5 6 7 8 9 10 (very likely) Networking/Social (In-person Activities). Please select networking/social activities you would like to see the chapter participate in and please add any topics not listed to the comment box: Group dinners/lunches Group events (paint night, pottery night, game nights, etc.) Nursing week specific events Other: Networking/Social (In-person Activities). Please select networking/social activities you would like to see the chapter participate in and please add any topics not listed to the comment box: Other: How likely would you be to participate in networking/social activities (in person)? 1 (very unlikely) 2 3 4 5 6 7 8 9 10 (very likely) Student Engagement (In-person or Virtual Activities). Please select student engagement activities you would like to see the chapter participate in and please add any topics not listed to the comment box: Participate in career fairs/information sessions Send speakers to nursing classes/high school classes Nursing student-specific meeting nights (e.g. coffee house night) Other: Student Engagement (In-person or Virtual Activities). Please select student engagement activities you would like to see the chapter participate in and please add any topics not listed to the comment box: Other: How likely would you be to participate in student engagement activities (in-person or virtual)? 1 (very unlikely) 2 3 4 5 6 7 8 9 10 (very likely) Please provide any other comments you have on chapter activities: Submit
