National League for Nursing

About the NLN

NLN Foundation Committees Interest Form

* Required

*First Name:**
*Last Name:**
*Credentials:**
NLN Membership No.:
*Email Address:**
*Preferred Address:**	Business Home
*Address 1:**
Address 2:
*City:**
*State:**
*Zip:**
*Preferred Phone:**	Business Home
*Phone Number:**

I am interested in serving as a Grants and Scholarships Committee member
I am interested in serving as a Board Resources Committee member
I am interested in serving as a Finance and Investment Committee member
I am interested in serving as a Fundraising and Development Committee member

Briefly discuss your qualifications for serving as a research grants reviewer, or committee member:*	Characters Remaining

This completed form must be accompanied by a copy of your Curriculum Vitae (no more than six-single spaced pages in length). Click “Browse” to search your computer and attach your CV file.

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