Seton Hall SANE Registration Form

Seton Hall University, College of Nursing
SANE Training Program
January 16, 17, 18 and 22, 23, 24, 2001
(with a clinical session on the 27th)

Registration Form
(Please complete and mail)

NAME	_________________________________________________________
ADDRESS	_________________________________________________________
CITY	_________________________________________________________
COUNTY	_________________________________________________________
STATE	_________________________________________________________
ZIP	_________________________________________________________
TELEPHONE #	_________________________________________________________
E-MAIL	_________________________________________________________
EMPLOYER	_________________________________________________________

Fee: $650.00; 46 contact hours
(Includes: Registration/Materials)

Make checks payable to:
Seton Hall University, College of Nursing

Please return this form with payment to:
Seton Hall University, College of Nursing
400 South Orange Ave.
South Orange, NJ 07079
Attn: Joanne Scarpelli

* This course is presented in collaboration with the NJ Chapter of the IAFN and is specifically designed to comply with the recommended SANE Training Educational requirements set forth by the IAFN and the proposed NJ state standards for training/education and reimbursement.

** Class size is limited - please complete and return a.s.a.p.

FOR ADDITIONAL INFORMATION, SEE OUR WEBSITE AT WWW.NJ-IAFN.ORG

Guest Lecturer: Dr. Linda Ledray

This page was last modified: 3 Decenber 2000, by R.A. Lloyd of Dream Weaver Productions