GrapeVine: New Partner Orientation Video (2019)

GrapeVine New Partner Orientation

GrapeVine: New Partner Orientation
Orientation Video

This video is intended for nurses in Wisconsin who are interested in becoming a volunteer community partner through GrapeVine.

Please fill out the following information. Submission of this form will redirect you to the GrapeVine New Partner Orientation Video.

It will also trigger an automatic email with next steps on becoming a GrapeVine Partner, including a survey to indicate your interest. GrapeVine Staff will be in touch once this survey has been completed and submitted.

1. First Name: *This question is required.

2. Last Name: *This question is required.

3. Your Email Address: *This question is required. This question requires a valid email address.

4. Please Re-Enter your Email Address: *This question is required. This question requires a valid email address.

5. Which county do you currently live in?
(GrapeVine is specific to Wisconsin residents. If you do not live in Wisconsin, please provide the county which you plan to serve through GrapeVine.) *This question is required.

6. How did you hear about GrapeVine? *This question is required.

7. GrapeVine Partnership is currently available to individuals who have a nursing background. Do you currently hold a degree in nursing (BSN, RN, LPN, MSN, etc.)? *This question is required.

Comments

Upon pressing 'Submit' you will be redirected to the GrapeVine New Partner Orientation Video (12 minutes).