NLNAC PROGRAM EVALUATOR NOMINATION FORM

Clinicians are an integral part of the site visit for review of all nursing program types. They help to ensure that graduates are adequately prepared for contemporary nursing practice. NLNAC is seeking nominations for master’s prepared clinicians as program evaluators.
Individuals for consideration:

  • agree to represent NLNAC and apply the standards and criteria objectively and fairly;
  • hold a position in a clinical practice environment;
  • have knowledge of current issues in nursing education and practice; and
  • have a history of involvement in community and/or professional organizations.

Nomination for master's prepared clinicians for becoming an NLNAC Program Evaluator may be submitted online. Please complete the form below. Fields marked with an asterisk (*) are required. If your have any questions, please feel free to call or email Dr. Sharon J. Tanner, NLNAC Executive Director at 800.669.1656 ext. 451 or stanner@nlnac.org.

NOMINEE INFORMATION
* First
 Middle
* Last
* Credentials
* Position
* Institution
 or Work Agency
* Street Address
* City
* State
* Zip
* Phone
 Fax
 Mobile
 Email


 * Please use the space below to tell us about the individual you are nominating
 and why you feel he/she will be an asset as an NLNAC Program Evaluator.
 Be sure to include information such as clinical expertise, years in practice,
 and other qualifications.

NOMINATOR INFORMATION
* First
 Middle
* Last
* Credentials
* Position
* Institution
 or Work Agency
* Street Address
* City
* State
* Zip
 Phone
 Fax
* Email