Conference and Speaking Engagement Request Form and our Educators are often asked to participate in events all over the United States and Canada. We want to accommodate these requests as much as possible but due to limited time we are not able to meet all needs.

Please use this form to make a request for participation at your event and we will do our best to work something out.

It should be noted that will typically not attend Student Nurse Association Conferences unless one of our nurse educators has a speaking engagement and a booth is provided.
Name of Your Event *
School or Organization Sponsoring the Event *
Contact Name: *
Contact Email: *
Date of Event: *
Location of Event: *
Anticipated Number of Attendees? *
How would you like to Participate *
Check all that apply
If a speaker is requested please provide information on the speaking engagement: *
For example: keynote or other speaking slot, amount of time, beginning or end of the event, topic, requested speaker, etc.
If you request NRSNG to sponsor the event please provide information on sponsorship: *
For example: price and levels of sponsorship, NRSNG's benefits (marketing etc), speaking engagement included, etc.
If a speaking engagement or booth is requested will your organization provide travel?
Clear selection
By what date do you need confirmation from NRSNG? *
Please provide a link to any additional information
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