Thank you for your interest in serving on the Board of Nursing. The ONA Board will review your application and then submit a list of names to the Governor for consideration for appointment.

The LPN opening is for a nurse engaged in the practice as a LPN within the geographical districts of 2, 3, 4, 5, 6 or 7

Two RN openings with one being engaged in the practice of nursing as an APRN. The other RN position must be from nursing education, actively associated with a recognized school of nursing in Oklahoma and who holds an organizational role of administration management and is accountable for strategic operational and/or performance outcomes. One of must be from a county with a population of less than 40,000. Both must be from one of the statute designated geographical districts of 1, 4, 5, or 8.

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* 1. I'm licensed as a:

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* 2. Which statute-designated Geographical District do you live in? (counties marked with an asterisk* indicates counties that are greater than 40,000 population)

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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. This county has a population less than 40,000

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* 10. State

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* 11. Zip Code

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* 12. Phone Number

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* 13. Email

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

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* 15. List 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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