Resource Nurse Program Application – Inpatient

Email: CenterforNursingExcellence@uams.edu with questions.

Comments
This field is for validation purposes and should be left unchanged.
Applicant Name*
First Last
Workday ID*
RN Title*
example: RN, RN I, RN II, RN III
Unit*
Direct Supervisor (CSM) Name*
First Last
Direct Supervisor (CSM) Email*
Date*
Self Evaluation Form*
Accepted file types: pdf, Max. file size: 15 MB.

Please attach the RN’s self evaluation form.
Peer Evaluation Form*
Accepted file types: pdf, Max. file size: 15 MB.

Please attach the RN’s peer evaluation form.