Hospital Registration - Thank A Nurse

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Hospital Partner Expression of Interest

The Angel Covid Warrior program is a unique opportunity to #ThankANurse for their contributions during the peak of the Covid19 pandemic. If you'd like to join this initiative, please enter your details below.

First Name *

Middle Name

Last Name *

Your Designation *

Department

Name of Hospital *

Year of Incorporation *

Address(Street One) *

Address(Street Second)

Country *

State *

City *

Zip Code *

Your E-mail *

Mobile Number *

Phone Number

URL of Hospital

Work Number

About your Institution

Please share relevant details about your hospital

Number of Nurses at your hospital/Clinic

0-2021-7576-250250+Others

Number of Nurses you're willing to commit to this initative

AllUpto 30%Upto 50%Undecided

Are you a designated Covid Hospital *

YesNo

Why are you interested in participating in the Covid Warrior Upskilling Program?

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