Wisconsin Student Nurses Association


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Thank you for agreeing to be a speaker for the 68th Annual Wisconsin Student Nurse's Association Convention being held February 3-5 2016 at the Wilderness Resort  in Wisconsin Dells, WI.  Please take a moment to fill out the following Speaker Agreement Form so that we may have your information ready when you arrive.  Thank you for your time. 

Address *
Phone *
This will be used by the Board of Directors for the website as well as to introduce you to the group to whom you are speaking.
*Equipment must be indicated on or before January 13, 2017 to guarantee equipment availability.
Dates you are available to speak: (Check all that apply) *
All attempts will be made to accommodate your specific requests. Speaker times will be filled based on when speaker forms are filled out. Thank you again.

Wisconsin Student Nurses' Association 2017