Complete this form to join the listserv.  You will receive an invitation in approximately 14 days after your information has been verified.  Once the invitation is accepted, you should receive messages through the listserv to your email address.

Your First Name (required)

Your Last Name (required)

Email to received listserv messages at (required)

University Attending or Alumni of

Year Graduated or graduating as APRN

RN License number (used for verification)

State of RN License (used for verification)

Who referred you? (Also for verification)