Board of Directors Application

Board of Directors Application Form Wisconsin Director of Nursing Council - Education Forum, Inc.

Please submit your application by June 30, 2021
First Name*
Last Name*
Designations (ie RN, BSN, MSN, DNS-CT, WCC)*
Name of Facility/Organization
Please List Title of Current Position
Please list Length of Time in Current Position
Preferred telephone numbers*
Email Address*
Are you a current member of WDONC?

YesNo
Member of WDONC since?
Please review the Board of Directors Responsibility Description.
I have read the Board of Directors Position Description, and, if selected, would agree to abide guidelines listed.

YesNo
Why do you wish to serve on the Wisconsin Director of Nursing Council Board of Directors? *
What will you contribute to the Board? *
What do you envision for Wisconsin Director of Nursing Council's future? *
Upload your resume here.*
Additional Information
Consider having letters of reference from your Administrator, or other leaders familiar, submitted with your application discussing your Nursing Leadership knowledge to Melissa@WI-DON-Council.org. This is NOT a requirement but may be helfpul in determining strengths and support from administration to assume the volunteer position on the WDONC Board of Directors.
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Board of Directors Application Form Wisconsin Director of Nursing Council - Education Forum, Inc.