Leadership Team Application

The North Dakota Center for Nursing Leadership team carries out the strategic plan and policy agenda for the Center. Leadership team members can join as many committees, tracking teams or other opportunities as they desire. Leadership team members also receive a special monthly update email including a legislative update and new opportunities within the Center. Questions about the leadership team can be sent to Patricia at patricia.moulton@ndcenterfornursing.org

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* 1. Contact Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Your current state organizational affiliations (names of the organization and your role(s) if applicable:

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* 3. Leadership Team Opportunities

As a leadership team member we encourage you to participate in as many opportunities as you would like. Please mark all that you would like to join. We will add you to the email list, send calendar invites for each opportunity and will send you additional information. All meetings are online and teleconference call.

We are restructuring our committees- we will announce when new committees are available.