Nebraska Nurses on Boards Coalition
This database attempts to quantify and monitor progress of the number of Nebraska nurses serving on boards.
Email address *
Nurse's Name (last, first) *
Your answer
Nurse's Credentials (RN, BSN, MSN, APRN...) *
Your answer
City of Residence *
Your answer
Name of Board *
Your answer
Company/Organization *
Your answer
Your Position (member, officer) *
Your answer
State (where board is located) *
Your answer
Type of Board: Non-profit, etc. *
Your answer
Voting Rights: (Y/N) *
Required
Start Date: MM/DD/YYYY (if known)
MM
/
DD
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YYYY
Through Date: MM/DD/YYYY (if known)
MM
/
DD
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YYYY
The Nebraska Action Coalition - Future of Nursing (NAC) and Nebraska Organization of Nurse Leaders (NONL) thank you for being counted as we track board service in Nebraska. Please complete only one form to help avoid duplicate counting.
A copy of your responses will be emailed to the address you provided.
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