Nebraska Nurse Advocacy Institute Application

The Nebraska Nurses Association is currently developing a year long educational program to help develop advocacy skills in nurses in Nebraska. We are calling this program the Nebraska Nurse Advocacy Institute (NNAI).

If you are interested in participating in the program, please complete the application below. A committee will review all applications and will select the participants. We anticipate that this will be a very competitive process, so please take your time and provide a very concise and well thought out response.

Questions should be directed to Linda Stones at

First Name: *

Last Name: *

Credentials: *

Your Email: *

List Your Education (Start with Undergrad): *

List Your Last 3 Employers: *

Date you started your NNA Membership? NNA Member since....? *

List any positions you have held within Nebraska Nurses Association or any State Nurses Association or the American Nurses Association: *

List All Other Nursing Organizations Including Positions/Titles You Have Held: *

List All Other Organizations Which You Are Active In And The Positions You Have Held: *

Describe What It Means To Be A Nurse Advocate: *

Why Do You Want To Be A Nurse Advocate: *

What Are The Top 2 Challenges Facing The Nursing Profession And What Ideas Do You Have To Address Them: *

If You Are Selected For This Program, Are You Willing To Spend 6-8 Hours A Month Working On Projects, Reading And Participating In Program Education: *

Yes

If You Are Selected For This Program, Are You Willing To Purchase The Textbook For This Program? (Approximate cost is $100): *

Yes

Upload A Resume If Desired:

Captcha *

reCAPTCHA is required.