STABLE Add Full Length Course

gRN NICU Consulting is excited to be partnering with

as their Nursing Continuing Education Provider

Register Your S.T.A.B.L.E. Full Length Course:

Note: Only accredited lead instructors can submit courses using this form. If you have not completed an instructor application for approval as a CE Provider, then please – click here to begin your Instructor CNE application now.

1Lead Instructor Information

2Class Details

3Agree to Terms and Submit

Name*
First Last
S.T.A.B.L.E. Instuctor ID#*
Email*

Course Schedule and Information
Enter the following information carefully and accurately as it will be used to generate your course coupon.
Date of Class*
MM slash DD slash YYYY
*
Facility or Organization Name Street Adress City State / Province / Region ZIP / Postal Code Country
How many OTHER instructors will be co-teaching this course with you?
Only courses taught by approved instructors are eligible to grant continuing education credit.
Support Instructor 1:
First Last
Support Instructor 2:
First Last
Support Instructor 3:
First Last
Support Instructor 4:
First Last
Support Instructor 5:
First Last
As the Lead instructor submitting this form, I will ensure that all Support or Lead instructors assisting with the course listed above have completed an online application and have been approved to be a CNE S.T.A.B.L.E. instructor at least 7 days prior to the course date.*

Agreement to Follow S.T.A.B.L.E. Instructor Guidelines
I will personally present or ensure that presented material is in compliance with all S.T.A.B.L.E. guidelines.

I have reviewed the published course agenda for the course type that I am applying for and I will follow the time frame in the published course agenda.

Short Course Agenda - Click here
Full Course Agenda - Click here

I will only issue continuing education credit to those students who satisfy the current published guidelines which include: complete test answer sheet (completed 32 quiz questions) and achieved a passing score on mixed module post-test, attendance at the entire course, use of the most current Learner Manual during the course presentation.
Electronic Signature - Type your name here*
Today's Date*
MM slash DD slash YYYY
Comments/Questions/Suggestions

CONTACT INFORMATION

Email for Questions – ceu-provider@nursekathi.com

Phone: 951-530-4101

gRN NICU Consulting is excited to be partnering with

as their Nursing Continuing Education Provider

Register Your S.T.A.B.L.E. Full Length Course:

Course Schedule and Information

Agreement to Follow S.T.A.B.L.E. Instructor Guidelines