Trauma Nursing Core Course (TNCC) Texas Children’s Hospital March 3-4, 2009 Please Print or Type CLEARLY: Name: _________________________________ Address: ___________________________________ ___________________________________ Phone: ___________________ Home ___________________ Work Employer and Department: ___________________________________ Email: _________________________________ Initial TNCC ____ Re-verifying TNCC _____ This course will be conducted at Texas Children’s Hospital – Meyer Bldg – 2nd Floor 1919 South Braeswood Houston 77030 Cost: $100.00 TCH employees $ 250.00 non TCH Make check payable to Texas Children’s Hospital Deadline: Feb 13, 2009 Cancellations accepted up to Feb 20, 2009 . A $25 non-refundable administrative cost will be forfeited along with $40 for the cost of the book. Eligibility: RNs will receive verification cards; RTs, EMTs, and LVNs may audit the course. Course Director: Cynthia Jenkins ckjenkin@texaschildrenshospital.org The Emergency Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation Mail checks to: Cynthia K. Jenkins Texas Children’s Hospital 6621 Fannin MC 1 -1480 Houston, Texas 77030 Phone: 832-824-5968 Fax: 832-825-5439 In accordance with the Americans with Disabilities Act, please advise Cynthia Jenkins if you have any disability that requires special materials and/or services so that appropriate personnel can be advised.