MINDSTRONG / MINDBODYSTRONG Registration Form
Business Information
Disclaimer
  • Contact hours are awarded after attending entire webinar and upon completion of course survey.
  • There is no conflict of interest for anyone with the ability to control content of this activity. This program does not have potential for conflict of interest due to the topics covered.
  • The Ohio State University College of Nursing is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Are you affiliated with The Ohio State University? *
Organization *
Organization State *
Organization City *
Organization Zip *
Are you registering more than one person in your organization? *
MINDSTRONG / MINDBODYSTRONG Information
Are you interested in registering for a MINDSTRONG™ or MINDBODYSTRONG™ facilitator training? *

The total cost to register for facilitator training is $700.00 per person. This includes training and access to an electronic non-printable encrypted manual. All registered participants will receive an email prior to their training date with a link to access the training PowerPoint deck along with access to this electronic manual. If you would like to also receive a hard copy of the manual, there will be an additional fee of $75.00 plus shipping per manual. Please indicate your preference below.

Note: If you are an Ohio State affiliate, you may be eligible to register at no cost, or at reduced cost. Once this form is submitted, a MINDSTRONG / MINDBODYSTRONG administrator will follow up via email to provide confirmation of fees, if applicable.

*

Additional Notes
OSU Affiliation
OSU Classification
OSU Name.#
Registrant Information
Professional Title
Professional Expertise
First Name
Last Name
Phone
Email
Healthcare License / Credentials (if applicable)
Shipping Information
Attention (First and Last Name)
Address 1
Address 2
City
State
Zip
* Required field(s)
Submit