SAFE Course Interest Form

This interest form is for healthcare providers who wish to enroll in the Rhode Island Sexual Assault Forensic Examiner (RI SAFE) Course. The form collects background, experience, and contact information to help determine eligibility and ensure participants meet the program requirements, including holding a minimum of a BSN degree. Submitting this form does not guarantee enrollment but allows our team to review your interest and follow up with next steps. 

First and Last Name

Professional Background

Are you currently licensed as a Registered Nurse (RN) or Advanced Practice Registered Nurse in Rhode Island?
Do you hold a minimum of a Bachelor of Science in Nursing (BSN) degree?
How many years of nursing experience do you have?

Interests & Goals