Continuing Nursing Education Program

CNE Application Form

Please complete the following information to register for a CNE offering.

Your name:
Email Address:
Course Code#:
Home Mailing Address:
DAYTIME Telephone:

Have you attended a TTUHSC Continuing Nursing Education course before?

YesNo

Nursing Academic Preparation:
Non-Nursing Academic Preparation:

Ethnicity
Age
Gender
Primary Practice Specialty
Present Position
Employment Setting

IMPORTANT -- PLEASE READ:
CALL 806-743-2734 (M-F, 8-5 CST) TO MAKE PAYMENT ARRANGEMENTS AS SOON AS POSSIBLE
We accept credit cards by phone (MC, Visa or Discover), or see below regarding checks or money orders.

Mail checks or money orders to:
TTUHSC Continuing Nursing Education Program
ATTN: Carolyn Brackett
3601 4th Street STOP 6233
Lubbock, Texas 79430-6233

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Continuing Nursing Education Program

CNE Application Form

Have you attended a TTUHSC Continuing Nursing Education course before?