Thank you for your interest in serving on the Board of Nursing. The ONA Board will review your applications and then submit a list of names to the Governor for consideration for appointment. This opportunity is for a Registered Nurse working in nursing service in District 2, 6 or 8 and holds an organizational role of administration/management and be accountable for strategic, operational and/or performance outcomes.

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* 1. I'm a Registered Nurse working in Nursing Service

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* 2. Which statute designated Geographical District do you live in?

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* 3. First Name

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* 4. Last Name

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* 5. Credentials

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* 6. Home Steet Address:

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* 7. City

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* 8. County

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* 9. State

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* 10. Zip Code

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* 11. Phone Number

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* 12. Email

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* 13. Present Nursing Position (title, employer, and city)

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* 14. Present Association Activities - Please include ways you are involved in ONA/ANA, if applicable.

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* 15. List other Professional and Community Activities

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* 16. Please provide a statement (100 words or less) of why you are interested in serving on the Oklahoma Board of Nursing.

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* 17. Are you able to meet deadlines and do so regularly and on time?

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* 18. Have you reviewed the Board of Nursing time commitment requirements and are able to meet them?

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* 19. Are you aware of the statutory grounds for removal from the Board?  This includes not being employed in nursing for a period of 12 consecutive months during your term.

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* 20. Have you discussed your interest with your supervisor and received  support from your organization?

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* 21. If you wish to submit your CV/Resume, please attach here.

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