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Registration Form for Conference August 12, 2014 “Clinical Reasoning Across The Curriculum to Prepare Students for Professional Practice” Name:________________________________________________________________ Address:______________________________________________________________ Phone #:______________________________________________________________ E-mail:________________________________________________________________ Cost: $100 (includes lunch, etc.) Please make all checks payable to: Rhodes State College, Division of Nursing; Contact Kathy Freed @ 419-995-8275 if you have any questions (Kathy will return on July 14 th , 2014) Please mail form and registration form to: Kathy Freed, NSG. Secretary Rhodes State College/ Cook Hall 224 4240 Campus Drive, Lima Ohio 45084

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Page 1: Name :________________________________________________________________

Registration Form for Conference August 12, 2014“Clinical Reasoning Across The Curriculum to Prepare Students for

Professional Practice”

Name:________________________________________________________________Address:______________________________________________________________Phone #:______________________________________________________________E-mail:________________________________________________________________

Cost: $100 (includes lunch, etc.) Please make all checks payable to: Rhodes State College, Division of Nursing;

Contact Kathy Freed @ 419-995-8275 if you have any questions(Kathy will return on July 14th, 2014)

Please mail form and registration form to:Kathy Freed, NSG. Secretary

Rhodes State College/ Cook Hall 2244240 Campus Drive, Lima Ohio

45084