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2021 SPS Virtual Conference

September 18-19, 2021
Brought to you in virtual format

WILLINGNESS TO PARTICIPATE FORM

WP FORM FOR: Jean Solodiuk, RN, CPNP, PhD
If you are not Jean Solodiuk, RN, CPNP, PhD click here | Return to Faculty Forms.

Contact Information

Required fields are marked with an "*".

Name:	Jean Solodiuk, RN, CPNP, PhD
Academic Title:
Academic Institution:
Academic Institution City/State:
Clinical Position:*
Practicing Institution/Hospital of Practice:*
Preferred Mailing Address:*
Phone Number:
Fax Number:
E-mail Address:*
Admin Assistant Name:
Admin Assistant Phone:

Willingness To Participate/Adherence To Deadlines

I have read the Willingness to Participate information below. These assignments have been made as a result of an invitation to perform the duties as a faculty member for the above-captioned meeting.

Please indicate your participation in the following lectures, workshops, case discussions, and/or as moderator as outlined in the lecture schedule.

Participation	Date	Lecture Title
I am pleased to participate in all lectures, workshops, case discussions, and/or as moderator as outlined in the lecture schedule.
I will participate in this lecture I must decline this lecture	Sun, Sep 19, 2021	Institutional Transformation to Optimize Procedural Pain

I will participate in this lecture I must decline this lecture	Sun, Sep 19, 2021	Ask the Experts: Turning an Idea into a Publication

I agree to adhere to all deadlines outlined in my faculty letter/email.

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