D.E. Systems - Registration | MyConference Suite

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Please Continue to Review Process

Registrant Information

* Fields marked with an asterisk are required.

Registration Type *Required

First Name *Required

Last Name *Required

Address *Required

City *Required

Province / State *

Country *

Postal Code/Zip *Required

Phone Number *Required

Institution *Required

Email *Required

Confirm Email Address *Required

confirm the email address here

Additional Information

Please provide the name of the regulatory body with which you are registered. *Required

Please provide your RN registration number. *Required

If you have not completed the Clinical Instructor Program with CASN, please upload the following documents:

Nursing degree (the certificate)
Proof of 3 years of clinical instructing experience (e.g., a CV)
Proof of professional development in clinical education

Nursing degree (the certificate)

Proof of 3 years of clinical instructing experience (e.g., a CV)

Proof of professional development in clinical education

Do you require special accommodations? *Required

Yes No

Details

Newsletter*Required

Newsletter *Required

Yes No

Terms and Conditions *Required

I have read and reviewed the Terms and Conditions

Registration Fees

Regular Registration	$400.00
Member School Employee Registration	$350.00

Questions

If you have any questions or would like more information about the exam, please contact Leah Watts at lwatts@casn.ca.