1. Be an active member:
dues are current for the year
have attended one or more regional activities in the past year

2. A paragraph on your expectations from attending the conference


3. List any accomplishments related to gastroenterology and ednoscopy nursing. ie. published an article locally or nationally, developed standards or procedures for your department, developed competency(s) for you and your staff, etc.


Name:
Address:

Telephone#:
Fax#:
Email:

Submit by mail to:

Irene Summers
1001 Perry Boulevard
Fredericksburg, VA 22401