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Alumni & Friends

Please complete all sections. Personal Information Title: Mr. Ms. Mrs. Dr. Other Last Name: First Name: Middle Name: UNCG School of Nursing Degree(s) & Year(s): (e.g. BSN 1976, MSN 1982) Graduation Name: Current Mailing Address Street/PO Box: City: State: Zip Code: Home or Evening Phone: (XXX-XXX-XXXX) Work or Day Phone: (XXX-XXX-XXXX) Cell Phone: (XXX-XXX-XXXX) Preferred Phone Contact: Home Business Cell E-Mail Address: [e.g. emailname@domain.edu] Please Check All UNCG School of Nursing Programs You Have Completed Post WWII BSN (Awarded before 1966) Associate Degree Nursing Program BSN Programs Pre-licensure BSN (generic) RN-BSN (already RN when beginning program) Campus RN-BSN Greensboro Triad Ed. Center RN-BSN Hickory Outreach Program RN-BSN Rockingham Outreach Program Post Baccalaurete Certificate Program Nursing Administration Nursing Education Nursing Case Management Gerontological Nursing MSN Programs Adult/Gerontological Nurse Practitioner Nursing Administration Nursing Education check here if you completed the on-line education program Nursing Education (Hickory Outreach Program) Clinical Nurse Specialist-Area Nurse Anesthesia-Wake Forest University Baptist Medical Center Nurse Anesthesia-Raleigh School of Nurse Anesthesia MSN/MBA Degree Post Masters Certificate Program Adult Clinical Nurse Specialist Nurse Anesthesia Adult/Gerontological Nurse Practitioner If the program you completed is not listed, please provide the program name Additional Information Current professional position and/or interest Place of Employment Work Address: Street/PO Box: City: State: Zip Code: Recent awards or accomplishments (personal & professional) Have you served with the United States Military or the Red Cross Yes No Which Branch did you serve? What were your years of service?
Alumni Info & Resources
» UNCG School of Nursing Alumni Association » Giving to the UNCG School of Nursing » The History of Nursing Education at UNCG » Update Alumni Information » Alumni News and Links

Page updated: 07-Mar-2008

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School of Nursing
The University of North Carolina at Greensboro
PO Box 26170
Greensboro, NC 27402-6170
VOICE 336.334.5010
FAX 336.334.3628