Getting Ready for the Next Public Health EmergencyContinuing to Build on Wisconsin’s Statewide Nurse Emergency Preparedness Initiative – A Wisconsin Center for Nursing Forum Register for Continuing to Build on Wisconsin’s Statewide Nurse Emergency Preparedness Initiative – A Wisconsin Center for Nursing Forum WCN Forum September 12, 2024 "*" indicates required fields Name* First Last Home Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneEmail* Enter Email Confirm Email Licensure LPN RN APRN MD Other A Working Lunch is Planned and Lunch Will be Provided – Do You Have Any Dietary Restrictions?* No Dietary Restrictions Vegan Vegetarian Gluten Free Other In conjunction with the conference facility, WCN will make every effort to accommodate special dietary needs or services. The Wisconsin Center for Nursing collects the following data solely for purposes of documenting the diversity of our conference attendees. Race* American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White I prefer not to answer this question Select one or more as relevant.Ethnicity* Hispanic or Latino Non-Hispanic or Latino I prefer not to answer this question Gender* Male Female I prefer not to answer this question Other Create Your Name TagKeep it brief, to fit on the tagName* First Last Credentials Position/Job Title Abbreviations are okayEmployer/Organization Name Abbreviations are okayE-mail CommunicationAn email confirmation will be sent to the email address that you have provided. This email will include a link to the Information Session page with the zoom link for your session and handouts. The National RN Practice Development Center is the educational partner for the Wisconsin Center for Nursing. If you did not receive your confirmation email, please contact: Kelly Kruse Nelles MS RN APRN-BC at Kelly.kruse@nationalrn.com or (608) 437-6035.Email Communication Agreement* Yes! I have read, understand and agree to receive email communication. I wish to complete registration.* Δ