College of NursingRural Nursing PathwayRural Nursing Pathway Site Inquiry Rural Nursing Pathway Site Inquiry Site Name(Required) Contact Name(Required) First Last Title / Role(Required) Email(Required) Phone(Required)Is your facility designated as a rural or critical access hospital?(Required) Yes No What types of services does your facility currently offer? (Check all that apply)(Required) Emergency Medical/Surgical Obstetric/OBGYN Pediatrics Long-Term Care Outpatient Behavioral Health Other Do you currently employ any MAs, CNAs, or unlicensed staff who may be interested in becoming RNs?(Required) Yes No Unsure Would you like to schedule a follow-up meeting to discuss program details?(Required) Yes No Send more information first Additional Comments Δ
