First Name * Last Name * Email address * Permission to Share * I give my permission for my video, photo or audio file as well as my name to be shared on the UWCNE website or social media or in UW Continuing Nursing Education quality improvement initiatives. I do NOT give permission for the use of my image or name. I will contact the program manager via phone or email to let her know. What learning group does this pertain to * - Select -Conference AttendeeGeriatric HealthcareI.V. Therapy ProgramMedical-Surgical NursingNursing Grand RoundsOnline Education StudentPodcastWound Management Education Program (WMEP)Wound Management Fundamentals Course (WMFC)None of the Above Caption for your video, photo or audio file (Agency name? Location? Etc.) Upload your video or photo (optional) DID YOU REMEMBER TO TAKE A HORIZONTAL VIDEO? File formats: .mov and .mp4, jpg and png, mp3, avi or wav. Your video should not exceed 30 MB. (30 seconds). Please do not film a patient. Files must be less than 29.3 MB.Allowed file types: jpg png avi mov mp3 ogg wav mp4. Comments Anything you want to say about this form? Leave this field blank
