Nebraska Organization

Membership Application

More information on memberships.

Name *

First

Last

Credentials

Title

Organization *

Email *

Single Line Text

Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone

Age

Race/Ethnicity

• American Indian or Alaska Native
• Asian
• African American
• White
• Hispanic

District *123

Member Type *Full Member – $ 125.00Student Member – $ 25.00Affiliate Member – $ 125.00Honorary Member – $ 0.00

Total

$ 0.00

Choose method of payment

• Credit Card
• Pay by check (contact Jan Morgan for instructions)

Credit Card *

Card

Name on Card

Submit

NONL Membership

Nursing leadership roles include, but are not limited to:
o Executive leadership
o Clinical care leadership
o Staff education
o Development and engagement
o Case/care management
o Information technology
o Academic appointment
o Quality and data analytics
o Bedside clinical experts
o Shift leadership
o Retired nurse leaders
o Consultants in nursing

Membership options
o Full Members of NONL are Registered Nurses (RN). This includes nurses in all health care environments who hold, aspire to hold or function in a leadership role. All licensed RNs are eligible for membership.
o Student Members of NONL are full time, pre-licensure nursing students.
o Affiliate Members of NONL are not Registered Nurses but support the mission and vision of NONL. The affiliate members’ purposes, goals and initiatives must be consistent with and supportive of NONL’s purposes, goals and initiatives. Affiliate memberships may require approval by NONL state board.
o Membership term – 12 months from the month of enrollment.