Nursing Education
Nursing Education Nursing Education
Nursing Education Nursing Education
Nursing Education
About the NLN
Certification for Nurse Educators
Faculty Programs & Resources
Faculty Programs & Resources
Membership
Publications
Public Policy
Recognition Programs
Research & Grants
Testing Services
NLN Education Summit
Get Involved



Nursing Education
Nursing Education

Faculty Programs & Resources

Nursing Education
Nursing Education
Nursing Education National League for Nursing - Faculty Development LEAD NURSE EDUCATORS IN EMERGING ADMINISTRATIVE LEADERSHIP ROLES - APPLICATION FORM 2015
Name (with credentials):
Home Street Address, City, State, Zip Code:
Home Telephone:
Name of Employer or School Where You Teach:
Street Address, City, State, Zip Code:
Work Telephone:
Email:
NLN ID#:
Previous Leadership or Administrative Position(s):
 
Ethinicity:
Are you of Hispanic descent?
Yes No
Race: Please choose the category below that best describes the way you identify yourself.

Alaskan Native or American Indian

Asian (not underrepresnted)

Asian (underrespresented) *

African American or Black

Native Hawaiian or Pacific Islander

White

Multiracial

Other

* Any Asian other than Chinese, Filipino,
Japanese, Korean, Asian Indian, or Thai
Gender: Male Female


Education (include basic preparation through highest degree held)


Degree

Institution
(Name, City, State)

Major Area of Study

Year Degree Awarded



 

If you are employed in a school of nursing, which types of programs are offered at that school? Select all that apply.

If you are employed in a school of nursing, in which programs do you generally have teaching, advisement, and leadership responsibilities?

Indicate the ONE program where you have the MAJORITY of your teaching, advisement, and leadership responsibility.

Practical/
Vocational

Associate

Diploma

Baccalaureate

Master’s

Doctoral

Present position and description of responsibilities. Include academic rank if appropriate.

Previously held positions in nursing education (provide your title and/or rank, name of school, location of school, and brief description of responsibilities).

What is the total number of years you have been in your current leadership position?

Other relevant employment or experience:

 

Please be concise when answering the following questions. One or two paragraphs for each question is sufficient. Be sure to answer all parts of each question.

1.Discuss why you want to be involved with this program. Include the aspects of leadership in which you wish to focus, and explain why you have selected those areas.


2. What strengths do you bring to this program?


3. List up to three goals you want to accomplish as a result of participating in LEAD.


4. What leadership challenges have you experienced in your leadership role? What organizational system issues have affected your role transition? What effective strategies have you used?

Abbreviated Curriculum Vitae (limit to 3 pages)

Submit the following information as a separate document with your application as an abbreviated curriculum vitae (Do not submit your full curriculum vitae!)

  1. Professional Education
  2. Professional Experiences - list position titles, institution/organization, locations, and inclusive dates
  3. Administrative/Management Experience - include academic programs
  4. Other Leadership Roles
  5. Publications
  6. Presentations
  7. Grants Awarded
  8. Membership in Professional Organizations
  9. Honors/Awards
 
Note: File names should start with, "LEAD-CV_yourlastname".


Administrator's Letter

Please upload the appropriate administrator’s letter on school letterhead indicating the school’s support of your attendance in LEAD, January - December 2015. This letter should include acknowledgement of payment of your conference fee, lodging and transportation, as well as support for participation in all LEAD activities.

Note: File names should start with, "LEAD-letter_yourlastname".

You will receive a confirmation email when your application is received and complete. If you do not receive an email within five business days of your submission, please contact Tigist Bishaw at 202-909-2503.

 

PLEASE BE SURE TO:

  • Read through your application to be sure that you have completed all sections.
  • Submit your application as stated in the directions above.
  • Upload an abbreviated curriculum vitae that includes the above information.
  • Appropriate administrator's letter (e.g., dean/director) addressing your leadership abilities or potential, and documenting her/his support for your participation in this project. Applicants will not be considered if the appropriate administrator’s letter does not accompany the application.

All Application materials must be received by September 30, 2015 at 5:00 PM ET.

 
Note: Please click only once, the form may take several seconds to process.


BACK TO TOP

Nursing Education
Nursing Education
Nursing Education
Nursing Education