July Engagement
Sign in to Google to save your progress. Learn more
Have you ever experienced, witnessed or exposed racism in nursing (practice or education/academia setting)? *
If yes, and you are willing to share, please describe below.
Are you willing to share your story or allow us to use your story as part of next year's DEI Nursing Conference? *
If you responded yes to question #3, please provide information (name, email) so that we may contact your for more information.
Are you aware of any nursing organizations that would like to participate in planning next year's DEI Nursing Conference?
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy