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Refer a Patient
Recruitment Session Request Form
Please complete this form to schedule a recruitment session with the Mayo Clinic Health System Department of Nursing Education.
Contact last name
Contact first name
Contact phone
Contact email address
School name
Type of program
RN
PN
ADN
BSN
Graduate
MA
Surgical Tech
Paramedic
Other
If other, please indicate
Program accreditation
(RN and PN programs must be accredited by ACEN or CCNE in order to qualify)
School street address
City
State
ZIP
Location
Albert Lea
Austin
Cannon Falls
Faribault
Lake City
Owatonna
Red Wing
Proposed date and time #1
(timeframe is limited to no more than 4 hours)
Proposed date and time #2
(timeframe is limited to no more than 4 hours)
Proposed date and time #3
(timeframe is limited to no more than 4 hours)
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