DUHS Council Member Application 2020

Name*

Position

Years at Duke Health

Entity

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Unit

Nurse Manager/Supervisor*

Nurse Manager/Supervisor Email*

Council Experience

Have you served as a council member before?

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If yes,

please specify which council you have participated and how long.

Council Representation*

Please describe what council representation means to you.

Nursing System Councils*

Is there a specific council that you are most interested in? Please select your top 3 councils: #1 Council

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#2 Council

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#3 Council

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Interest in Councils*

Tell us why you are interested in the councils you have selected?

Send me a copy of my responses

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