NLN Assessment Services Division - Item Writer Application

NLN Assessment Services Division Item Writer Application

Revised 1/15/2022
Thank you for your interest in serving on NLN Assessment Services Item Writer Committee. Your time, energy and effort are greatly appreciated by the NLN and our future Nurses.

Applying for our committees has never been easier!

1.) Please take a few moments to complete this application.

2.) Attach your current CV

3.) You will then receive a submission confirmation email.

4.) After the committee has had a chance to review your information a member of our Development team will reach out to you with the next steps.

In the meantime, if you have any questions, need additional information or you do not receive your confirmation email, please contact Dr. Dodie Serafini at dserafini@nln.org
PERSONAL INFORMATION
Name: *

First Name Last Name
Credentials: *
Home Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Do You Prefer Phone, Text or Email: *

Phone Text Email
Contact Phone:
Please enter a valid phone number.
Personal Email:
example@example.com
Work Email:
example@example.com
Have You Attended an NLN Workshop for Item Writers? *

Yes No
Date of the Workshop You Attended.

Month Day Year
Date
If yes, please explain:

EDUCATION
Highest Level Degree Earned