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GROWN Clinical Instructor

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Hello:
You are invited to participate in our survey to identify qualified and interested participants in the Clinical Instructor Immersion Course provided by the Texas Health Resources Center for Learning & Career Development. The survey consists of only 13 items and will take approximately 10 minutes to complete.

Your survey responses will be coded and will remain strictly confidential. If you have questions at any time about the survey or the procedures, you may contact Debra Logan at 682-236-6188.

Thank you very much for your time and support. Please start the survey now by clicking on the Continue button below.
 
 
 
I am interested in attending the Texas Health Resources Clinical Educator Immersion Course.

The course will be held over two days. Please select your choice of the first day:
 
Saturday, December 4, 2010
 
Saturday, January 8, 2011
 
 
 
I am interested in attending the Texas Health Resources Clinical Educator Immersion Course.

The course will be held over two days. Please select your choice of the second day:
 
Saturday, December 11, 2010
 
Saturday, January 15, 2011
 
 
 
I would like more information about the THR Clinical Instructor opportunities.
 
Yes
 
No
 
 
 
I would like more information about the University of Texas at Arlington College of Nursing Graduate Nursing Education Certificate Program.
 
Yes
 
No
 
 
 
I would like more information on the qualifications for teaching in the THR AP-BSN Program
 
Yes
 
No
 
 
 
I currently teach in the following prelicensure nursing program:
 
Associate degree in Nursing (ADN)
 
Baccalaureate degree in Nursing (BSN)
 
I don't teach in a prelicensure nursing program
 
 
 
I have a BSN and a Non-Nursing Master's degree and want to become a Nurse Educator
 
Yes
 
No
 
 
 
I have a Bachelor's degree in Nursing and want to become a Nurse Educator
 
Yes
 
No
 
 
 
I have a Master's degree in Nursing in the following specialty area(s):
 
Medical-Surgical
 
Women & Children's Health
 
Critical Care
 
Mental Health
 
Pediatric
 
Community Health
 
Other (please specify)
 

 
 
 
The following information is being requested in order to provide you with additional information about the Clinical Instructor Immersion Course. All information will be kept strictly confidential.
 
 
 
First Name
   
Last Name
   
Mobile Phone (xxx-xxx-xxxx)
   
Home Phone (xxx-xxx-xxxx)
   
 
 
 
THR Employment Status
 
Full time
 
Part time
 
PRN
 
Not a THR employee
 
 
 
In what THR facility are you currently employed?
 
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