UNC Gillings School of Global Public Health

Office of Continuing Education

Child Health Enhanced Role Nurse Challenge

*Required items  
*First Name
Middle Name
*Last Name
*Gender Female Male
*Birthdate MM/DD/YYYY
We ask that you provide your birthdate and gender with the understanding that they will be used only as identification for internal record keeping and data processing operations at the University of North Carolina at Chapel Hill.
Agency
Type of Agency
*Address (line 1)
Business address if applicable, home address if not.
Address (line 2)
*City
*State
*Zip code
*E-mail Address
Job Title/Position
Occupation
*Daytime Phone Area code + number
Fax
Area code + number
Evening phone Area code + number
*Director of Nursing name
*Director of Nursing email
How did you hear about this program? Brochure
Calendar
E-mail from the Office of Continuing Education
E-mail from another source
This website
Another website
Colleague
Other (specify):
Are you a student, faculty member, or staff member at UNC-CH?  No  Yes 
Are you a graduate of the UNC-CH School of Public Health? No Yes, department: 
Payment
Registration fee $250
How do you want to pay? Personal check--please send to address below.
Agency check--please send to address below.

Make check payable to NCIPH (NC Institute for Public Health) and send to:

Registrar, Office of Continuing Education
Campus Box 8165
UNC-CH School of Public Health
Chapel Hill, NC 27599-8165

Be sure to include with the check:

  • Participant's name
  • Program name
  • Course number

 

 


Please note: When you click "Submit Registration " below, you will be taken to a page saying the registration information has been sent. This is NOT a confirmation of your registration. You will receive written confirmation of your registration in the mail. If you have not received a confirmation letter two weeks prior to the program date, contact the Office of Continuing Education (see contact information below).

       
 
 

If you require any of the auxiliary aids or services identified in the American with Disabilities Act in order to participate in this program, please contact the Office of Continuing Education (see contact information below).

Admission to School of Public Health programs is without regard to race, sex, national origin, color, religion, handicap, age or veteran's status.

Contact Information

Email: oce@unc.edu
Phone: 919-843-9262