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Account Information (*Required)

Contact Information

First Name*
Last Name*
Username*

How to select an Organization from the list below. These instructions are for GASN members and Work Force Survey participants.

If you are a responsible for updating the school system information find your system in the list below. Click on the school system link and it will fill in the Proper Organization name and NCESID number for you.

If you are a School Nurse, find your school system and click on "Show Schools" link. This will show all the schools in your system. Find your school and click on the link for your school and it will fill in the proper Organization Name and NCESID number.

These numbers are important as they integral to our data and allow you to edit the Work Force Survey for your school or school system. You may email any questions to webmaster@gasn.org for further options ie: your school name has changed, your school not in the list or you are a nurse for more than one school. If the latter applies, select your primary school and email us please.

Organization
Email*
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Address

City

State

ZipCode

Additional Contact Info

Secondary Email Account
*Work Phone Number
Phone Extension at Work
*Home Phone Number
Fax Number
File Directory

(for internal use only)

Professional Data

*Are You a School Nurse Yes No

Other fields, fill in best possible answer. Unlicensed, enter N/A
*County / District / Private / Professional / School Health Related
Public or Private Public Private
*Hours Per Day
*Days Per Week
*Nursing Degree / Other
*State License Number

If unlicensed, enter N/A
*Advanced Certification
*Number Of Schools You Serve
*Number Of Students You Personally Serve
*Are You Lead Nurse Yes No
*Your Supervisors Name
No. of RNs You Supervise
No. of LPNs You Supervise
No. of UAPs You Supervise

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