The Institute for Johns Hopkins Nursing
Biographical Data Form
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|Planning Committee | | |
|Faculty/Presenter | | |
|Name: | |
| |First Last Degrees Credentials |
|Address: | |
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|Telephone: |Business: |Fax: |
|Email: | | |
|Present Position: | |
|Agency/Program/Facility: | |
|Planners: Describe your familiarity with the target audience and experience in planning education activities. |
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|n/a |
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|Faculty/Presenters: Describe your expertise in this topic and as a presenter. |
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Use the back of this form if necessary, but DO NOT ATTACH ANY ADDITIONAL MATERIAL.
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