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harry@hrgcllc.com
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Select An Event Date
--- Select ---
July 12 9AM - 12PM
July 12 1PM - 4PM
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July 13 9AM - 12PM
July 13 1PM - 4PM
*First Name
*Last Name
*Email
*Phone Number
Please add: Country Code and Area Code
*What type of session are you looking to participate in?
--- Select ---
Live Event
Zoom
*Please confirm if you are able communicate using WhatsApp or FB Messenger.
Yes
No
Are you a nurse of other licensed healthcare professional?
Yes
No
*If Yes, Please provide the type of licensure (Nurse, Repiratory Therapist, Etc). Also add expirtation date of the license
*If No, Please let us know if you are certified medical (such as home health aide, nursing assistant, caregiver, etc and its expiration date)
Are you currently employed in a healthcare setting?
Yes
No
*If Yes, Please provide where, in what role, and for how long have you been working in that role?
*If No, Please provide your current occupation.
Have you ever taken NCLEX or any other USA healthcare professional exam
Yes
No
*If Yes, Please provide type, what state and license expiration date
How did you hear about us?
--- Select ---
Google
Yahoo
Bing
Social Media (Facebook, Instagram,etc)
Agency Or Individual
Other
*If referred by an agency or individual, please share their information
*Additional Comments or Questions
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Past Events and Presentations
