Annual membership (January to December) to the Arizona Simulation Network is $60/year. Would you like to proceed with this membership form? If selecting yes, you will receive an email notification with a link to our PayPal site.

Yes

Please List Your Employer

Dignity Health
St. Joseph's Hospital and Medical Center

List Current Job Titles.

Adjunct Faculty

What is your legal state of residence?

AZ

Please share your experience with simulation

Run simulation scenarios for various levels of nursing students, have written patient case scenarios for various uses.

Photo disclaimer: I understand that photographs, video and/or audio taken of me may be published by Arizona Simulation Network for educational, and marketing purposes. I understand that I will not have the opportunity to approve the photographs, video and/or audio in advance, and I relinquish and give to Arizona Simulation Network all rights, title, and interest I may have in the finished pictures or negatives. I hereby release Arizona Simulation Network from any and all claims, demands, or causes of action that I may hereafter have against Arizona Simulation Network whether for libel, invasions of privacy, or anything else, by reason of the use of the photographs, video and/or audio described above or the information that is published to accompany the photographs, video and/or audio.

I agree

To Complete your membership process, please go back to the Home Page and Click on Annual Membership Dues PayPal Link in the lower right corner of the page.

I understand