About:

As a student, Twin Oaks Anesthesia offers you the opportunity to attend a course free-of-charge while also volunteering as a student model during our two half days of hands-on lab experience. Requirements are listed below and all submissions will be considered. Availability is limited and typically fills quickly. Once your application is received, you will be sent a Student Model Agreement that needs to be filled out and returned to the Administrator, Scott Dobat, before your spot as a student model is secured. This will come as an automated email and most likely will not go directly into your inbox - please check all of your folders and categories once you submit your application.

Requirements:

Currently enrolled at a university pursuing a CRNA education
In good standing with the University
Must provide student AANA number given by the university
Able to attend the given course dates of interest
Be reliable and on time for the course dates
Be comfortable with people scanning your body during our break out sessions
Student models are required to attend both days and be present for the entire course

Note:

SRNAs are only allowed to serve as a student model once in a 365-day period to give all SRNAs the same opportunities to take part in this program that we offer. Travel expenses and meals outside of what are offered at the course are not included.

2019 Student Models

First Name: *

Last Name: *

Location of Interest: *

St. Louis Jun, MO 2019

Boston, MA 2019

Tampa, FL SEPT 2019 - Spinal & Epidural

Wichita, KS 2019

Houston, TX 2019

Tampa, FL OCT 2019 - POCUS

New Orleans, LA 2019

Email Address: *

Vital for communication purposes.

SRNA Number: *

This number is supplied to you from your university and allows us to award you with a Certificate of Attendance.

City: *

State: *

Phone: *

Phone:

Best number to be reached.

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University Attending: *

Additional Comment/Questions:

Statement of Acknowledgement: *

I have completed this application truthfully and to the best of my knowledge. I also acknowledge that if selected, I will be required to attend both days of the course and stay through its entirety. Twin Oaks Anesthesia has the right to charge me the full cost of the course if I do not stay through to course completion. I understand that this application does not guarantee that I will be selected as a student model.

SRNA Application

About:

Requirements:

Note: