Find a Nurse – American Planning Association (APA)

Upon receipt of the form, we will begin the process of identifying a nurse through outreach to those registered in the NOBC database, AARP Interest Form, and leverage the NOBC network to provide you with a list of qualified candidates.
You may include more than one position in the same form, simply include details in the “other selection criteria” section, near the end for the form.
As a best practice, please allow 3 weeks for us to respond to you with a list of candidates. Depending on the number of candidates, at your request, we will conduct an initial review and narrow the number of candidates to your preferred number.
After you review the candidates and make your selection, you have the option to notify the candidates who were not selected, or we will do this on your behalf.

Name of Organization:*

Include the specific name of your American Planning Association (APA) State, County or Community organization.

Website:*

Include your website, if applicable.

Organization Mission:

Include your local mission, if applicable.

What type of organization is the recruiting organization?*

Hospital/health system, non-profit, university/college, corporation, etc.

Level of experience desired of nurse candidate

For example, 5+ years of experience, if no requirement, list none.

Desired area of health care specialty, if any:

For example, family, pediatrics, gerontology, etc

Desired specific areas of governance expertise of nurse candidate

Check all that apply.

Are there any residency requirements?

Be specific if the nurse must live and/or work in a specific community or county to be eligible for consideration.

Does the position require a specific political affiliation?

Yes
No

Does the position have membership requirements for the nurse candidate?

For example, APA or other, otherwise state none.

When would the appointment begin?*

Date format: MM/DD/YYYY

Number and location of meetings annually*

If you have standing or scheduled meeting dates, please include. If not, include approximate number of meetings/year.

Is there an expected financial contribution from board members? If so, amount?

If yes, include amount. Otherwise respond No.

Do board members receive any remuneration for service? i.e. compensation or coverage of expenses?

It is expected the role is volunteer, in the case that any compensation or expense reimbursement is provided, please indicate.

Nomination deadline for this position?*

Date format: MM/DD/YYYY

What is the approval / vetting process?

Please describe the review and approval process in selecting candidate/candidates.

Are there other selection criteria to be aware of?

Provide any additional information that will help nurse candidates understand how you would like them to be involved. If you would like to consider more than one nurse, and/or nurses to fill more than one role, please include this information here.

Agreement Terms*

Agreement that recruiting organization will notify NOBC if nurse is selected using the database

Contact Name*

First Last

Contact Phone*

Contact Email*

Enter Email Confirm Email

Find a Nurse – American Planning Association (APA)

Nurses on Boards Coalition