Monuments and Milestones

in

Nursing Informatics Practice

April 18-19, 2008

Gaylord National Resort & Convention Center on the Potomac

204 Waterfront Street

National Harbor, MD 20745

1.  This information is collected from accepted poster presenters for the purpose of continuing education requirements ~ please fill it out completely.

2.  Each author and/or co-author must fill this out by March 1, 2008.

3.  If you have questions, please contact speaker@ania.org


Poster Contact Information

Poster Title  

Name

 

Credentials

 

Job Position

 

Organization

 

Work  Street Address

 

Address (cont.)

 

City

 

State/Province

 

Zip/Postal Code

 

Country

   (if other than U.S.)

Work Phone

 

 Work Fax

 

 

 

Home Street Address

 

Address (cont.)

 

City

 

State/Province

 

Zip/Postal Code

 

Country

   (if other than U.S.)

Home Phone

 

Cell Phone

 

 Primary E-mail

 

 

 

Education Information (basic preparation through highest degree held)

Degree/Yr/Major/Institution

 

Degree/Yr/Major/Institution

 

Degree/Yr/Major/Institution

 

Degree/Yr/Major/Institution

 

Degree/Yr/Major/Institution

 

 

 

Professional Information

Briefly describe your professional experience/areas of expertise (including publications, presentations and/or planning CE activities) that contribute to your particular involvement with this educational activity.

 

 

 Poster Information

 click here
   

      


Author information goes here.
Copyright © 2008 [ANIA]. All rights reserved.
Revised: 04/29/08