Workshop Registration Form – Training Purposes Only Workshop SelectionSelect Your Workshops * Required Prescribing Controlled Substances in New Jersey Online Self Study Program - February 20 - March 1, 2019 Pediatric Physical Assessment - March 9, 2019 Suturing and Wound Closure Workshop - March 12, 2019 Prescribing Controlled Substances in New Jersey Online Self Study Program - March 27 - April 5, 2019 Adult/Adolescent Sexual Assault Forensic Examiner (SAFE) Clinical Skills Laboratory Training (IAFN) - April 11 & 12, 2019 Prescribing Controlled Substances in New Jersey Online Self Study Program - April 17 - April 26, 2019 Prescribing Controlled Substances in New Jersey Online Self Study Program - May 15 - May 24, 2019 Sexual Assault Examination Across the Lifespan - June 17 - 20 Prescribing Controlled Substances in New Jersey Online Self Study Program - June 10 - June 19, 2019 Prescribing Controlled Substances in New Jersey Online Self Study Program - July 10 - July 19, 2019 Select Your Registration Status * RequiredPrescribing Controlled Substances in NJ Online Self Study Program: February 20 - March 1, 2019General Cost: $95Monmouth University Students and Alumni: $75Select Your Registration Status * RequiredPrescribing Controlled Substances in New Jersey Online Self Study Program - March 27 - April 5, 2019General Cost: $95Monmouth University Students and Alumni: $75Select Your Registration Status * RequiredPrescribing Controlled Substances in New Jersey Online Self Study Program - April 17 - April 26, 2019General Cost: $95Monmouth University Students and Alumni: $75Select Your Registration Status * RequiredPrescribing Controlled Substances in New Jersey Online Self Study Program - May 15 - May 24, 2019General Cost: $95Monmouth University Students and Alumni: $75Select Your Registration Status * RequiredPrescribing Controlled Substances in New Jersey Online Self Study Program - June 10 - June 19, 2019General Cost: $95Monmouth University Students and Alumni: $75Select Your Registration Status * RequiredPrescribing Controlled Substances in New Jersey Online Self Study Program - July 10 - July 19, 2019General Cost: $95Monmouth University Students and Alumni: $75Select Your Registration Status * RequiredWriting Research Papers/APA Style January 16, 2019 General Cost: $45Monmouth University Students: $35Select Your Registration Status * RequiredSuturing and Wound Closure Workshop - March 12, 2019General Cost: $90Monmouth University Students and Alumni: $80Writing Research Papers/APA Style: General Cost Price: $45.00 Prescribing Controlled Substances in NJ Online Self Study Program: General Cost Price: $95.00 Prescribing Controlled Substances in NJ Online Self Study Program: MU Students & Alumni Price: $75.00 Writing Research Papers/APA Style MU Students Price: $35.00 Adult/Adolescent Sexual Assault Forensic Examiner (SAFE) Clinical Skills Laboratory Training (IAFN) - April 11 & 12, 2019 Price: $500.00 Sexual Assault Examination Across the Lifespan - June 17 - 20 Price: $875.00 Pediatric Physical Assessment - March 9, 2019 Price: $90.00 Suturing and Wound Closure Workshop - March 12, 2019: General Cost Price: $90.00 Suturing and Wound Closure Workshop - March 12, 2019: MU Students and Alumni Price: $80.00 Total Registration Cost $0.00 Registrant InformationI Am a Current MU Nursing and Health Studies StudentYesI Am a Current MU Student * RequiredYesPlease Indicate Your Status * RequiredMU StudentMU AlumniPlease Provide Your Student ID * RequiredPlease Provide Your Year(s) of Graduation * RequiredSchool or University * RequiredPosition Title * RequiredAre You a Registered Nurse? * RequiredYesNoName * Required First Last Address * Required Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Telephone * RequiredEmail * Required Product Name Price: $0.00 Quantity: UntitledFirst ChoiceSecond ChoiceThird Choice
