"*" indicates required fields EmailThis field is for validation purposes and should be left unchanged.Tell Us More about You!We are excited you want to join our commitment to healthy people and a healthy planet.Your Name* First Last Your Email Address* Email Address Confirm Email Address Are you a nurse or nursing student?* Yes I am! Yes, but I am retired now No, but I am a health community member No, but I am interested in becoming involved What are your credentials?*StudentRNLVNLPNMSNNurse PractitionerDNPArea of nursing?*PediatricsOncologyPublic HealthSchool NurseMedical/Surgical SpecialtyGeriatricEmergencyMental HealthMaternal/Child HealthOtherHow are you involved with the health community?*What is your current occupation?*Are you currently a faculty member of a School or Department of Nursing?* Yes No Which school and where is it located?*Are you interested in an Environmental Health Nurse guest lecturer? Yes, preferably in-person Yes, via online No, not at this time Is there a particular topic we can cover?Additional InformationThis will help us share information about events and actions around your communityDo you live in California?* Yes I do! No, but I still want to join the listserv Zip Code*What state do you live in?*Please only use abbreviations (e.g. NY for New York)What are your areas of interest?* Fossil Fuels, Air Quality, and Transportation Wildfires & Disaster Preparedness Food, Agriculture, Farmworkers, and Pesticides Greening Hospitals Antiracism & Health Learning Club Chemicals and Plastic Exposures Another related topic (not mentioned above) What topic did you have in mind?This could potentially grow to a working committee. How involved would you like to be?*Remember we all have limits and this can always change. Attend planning meetings and help organize events/actions Attend occasional events/actions, but not plan them Only email alerts for now, please I am interested to learn more before determining my involvement Phone Number*For additional contact information purposes only. Stay connected. To get emails about upcoming events and alerts about nursing actions to protect people and the planet. Contact form connected to "Join Us" button "*" indicates required fields FacebookThis field is for validation purposes and should be left unchanged.Tell Us More about You!We are excited you want to join our commitment to healthy people and a healthy planet.Your Name* First Last Your Email Address* Email Address Confirm Email Address Are you a nurse or nursing student?* Yes I am! Yes, but I am retired now No, but I am a health community member No, but I am interested in becoming involved What are your credentials?*StudentRNLVNLPNMSNNurse PractitionerDNPArea of nursing?*PediatricsOncologyPublic HealthSchool NurseMedical/Surgical SpecialtyGeriatricEmergencyMental HealthMaternal/Child HealthOtherHow are you involved with the health community?*What is your current occupation?*Are you currently a faculty member of a School or Department of Nursing?* Yes No Which school and where is it located?*Are you interested in an Environmental Health Nurse guest lecturer? Yes, preferably in-person Yes, via online No, not at this time Is there a particular topic we can cover?Additional InformationThis will help us share information about events and actions around your communityDo you live in California?* Yes I do! No, but I still want to join the listserv Zip Code*What state do you live in?*Please only use abbreviations (e.g. NY for New York)What are your areas of interest?* Fossil Fuels, Air Quality, and Transportation Wildfires & Disaster Preparedness Food, Agriculture, Farmworkers, and Pesticides Greening Hospitals Antiracism & Health Learning Club Chemicals and Plastic Exposures Another related topic (not mentioned above) What topic did you have in mind?This could potentially grow to a working committee. How involved would you like to be?*Remember we all have limits and this can always change. Attend planning meetings and help organize events/actions Attend occasional events/actions, but not plan them Only email alerts for now, please I am interested to learn more before determining my involvement Phone Number*For additional contact information purposes only.
