bmarks1@uic.edu bmarks1@uic.edu $email_1 $email_2 bmarks1@uic.edu NOND: Prospective Student Survey Survey for People Who Want to Be A Nurse Date: $fm_date 1) Were you ever told that you, as a person with a disability, could become a nurse? : $1 1a) Who told you this? : $1a 2) Were you ever told that you, as a person with a disability, could not become a nurse? : $2 2a) Who told you this? : $2a 3) Was the application process for admission into a nursing school accessible to you? : $3 3a) Please describe : $3a 4) Were you admitted into a nursing school? : $4 4a) Please describe : $4a 5) Were you able to obtain accommodations for your disability in a nursing school? : $5 5a) Please describe : $5a 6) Were you denied accommodations while enrolled in nursing school? : $6 6a) Please describe : $6a 7) Please describe any additional issues that impeded (or prevented) you from gaining admission to a nursing school, staying in nursing school, or graduating from nursing school. : $barriers 8) Please describe any strategies (or supports) that were (or would have been) helpful in gaining admission to a nursing school, staying in nursing school, or graduating from nursing school. : $supports 9) Which of the following categories best describes your age? : $9 Thank You

ARE YOU ARE PERSON WITH A DISABILITY WHO WANTS TO BE A NURSE?
National Organization of Nurses with Disabilities (NOND)

Thank you for sharing your your experiences in trying to become a nurse with us.
We appreciate the time you took to complete this evaluation and share your comments with us.
Please visit our website at NOND to see available resources for nursing students with disabilities.

Date: $fm_date
1. Were you ever told that you, as a person with a disability, could become a nurse? : $1
1a. Who told you this? : $1a
2. Were you ever told that you, as a person with a disability, could not become a nurse? : $2
2a. Who told you this? : $2a
3. Was the application process for admission into a nursing school accessible to you? : $3
3a) Please describe : $3a
4) Were you admitted into a nursing school? : $4
4a) Please describe : $4a
5) Were you able to obtain accommodations for your disability in a nursing school? : $5
5a) Please describe : $5a
6) Were you denied accommodations while enrolled in nursing school? : $6
6a) Please describe : $6a
7) Please describe any additional issues that impeded (or prevented) you from gaining admission to a nursing school, staying in nursing school, or graduating from nursing school. : $barriers
8) Please describe any strategies (or supports) that were (or would have been) helpful in gaining admission to a nursing school, staying in nursing school, or graduating from nursing school. : $supports
9) Which of the following categories best describes your age? : $9

]]>