Black Nurses Leadership Institute - Fall 2023
Welcome to the Black Nurses Leadership Institute.
Please complete the following online application form to officially apply for admission to our program.
There is no fee to apply or to participate in the program - all materials are included.

The Fall 2023 Cohort will be meeting on Thursdays from 6-7:30pm for any synchronous components (ie. workshops, some modules, Speaker Series).
Thursday September 7th - December 21st 

We truly look forward to working with you and we know that you will have a wonderful experience.
If you have any questions, please feel free to contact us at info@blacknursesli.ca
Sign in to Google to save your progress. Learn more
Email *
Name *
First and last name
Email *
Phone number *
Are you currently a member of the Ontario Black Nurses' Network? *
Do you currently reside in Canada? *
Are you one of the following: *
What leadership topics are you most interested in? (check all that apply) *
Required
How will participation in the Black Nurses Leadership Institute help you with your professional/personal growth as a nurse/nursing student?  (200 -300 words) *
Please submit a current CV/resume (it will assist us with personalizing activities, mentor matching, etc.) - this MUST be done along with the submission of application form to be considered complete.  Send document to info@blacknursesli.ca *
Required
USE OF IMAGE/NAME FOR PROMOTION - please note that your response to this question does not impact or influence the review or outcome of your application to the program *
*
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy