NC Future of Nursing Action Coalition

NC Future of Nursing Action Coalition

The North Carolina Future of Nursing Action Coalition (NCFONAC) is a statewide coalition of nursing and nurse champion stakeholders founded to help carry out the work of the Future of Nursing: Campaign for Action, an initiative of AARP Foundation, AARP and the Robert Wood Johnson Foundation that is building a healthier America through nursing.

Thank you for your interest in joining our team! Please use this form to tell us more about how you are interested in engaging with us.

Are you self-nominating or nominating someone else?*

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Nominee*

First and last name of the individual that you would like to nominate. You may self nominate.

Nominee Profession*

Please indicate the nominee's profession (nursing, MD, lawyer, accountant, communications/marketing specialist, teacher, etc.)

Nominee Credentials

Please list nominee credentials, as specific as possible. For example, for nurses specify NA, LPN, ADN, BSN, MSN, DNP, PhD, etc.

Is the nominee aware that they have been nominated?

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Nominee Email*

If the nominee is selected, we will send more information via email. If you do not have an email, please leave alternate contact information.

In what NC county does the nominee live?*

In what NC county does the nominee work/volunteer?*

You may put N/A if the nominee does not work/volunteer.

In what organization and practice area does the nominee work?*

For example, which hospital, academic center, schools, practice organization, etc, and what specialty area. If the nominee does not practice in health care, please specify.

Types of Service

Please review the NCFONAC bi-laws and explore in what role(s) the nominee is interested and/or qualified to serve on the NCFONAC.

Please indicate the type of service in which the nominee is qualified and interested.*

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In which officer position is the nominee interested, if it is/becomes available?*

You indicated that the nominee is interested in serving as an officer. Officers of the Board, with the exception of the Co-Chairs, are elected by the Board. Officers may serve up to two consecutive three-year terms above and beyond their terms as Board members.

• Co-Chairs: responsible for convening and facilitating all meetings of the NCFONAC Board, representing the organization to the public, and performing other duties as directed by the bylaws.

• Past-Chairs: The Past-Chairs work collaboratively with the Co-Chairs to representing the organization to the public, and performing other duties as directed by the bylaws.

• Secretary: responsible for taking the minutes of all Board meetings, and maintains records and non-financial legal documents, including the bylaws and minutes of the NCFONAC Board. If the Secretary is unable to attend a meeting, they may delegate the taking of minutes to another Board member or to a non-Board member who will attend the meeting but will not have voting powers.

• Treasurer: responsible for maintaining financial records, signing checks, approving purchases and invoices, overseeing finances, preparing and delivering a true statement of the NCFONAC’s assets and liabilities at each of the Board’s official meetings, approving the NCFONAC’s annual tax filing, chairing the Finance/Audit Committee, comparing the budget to actuals, and creating and submitting financial reports to granting and funding bodies.

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Which committee(s) is the nominee interested in leading, if it is/becomes available?*

The NCFONAC bi-laws describe the committees.

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Nominee Information*

Please include any information that supports the nominee and the role they could play on the NCFONAC. You will have an opportunity to add a CV or resume, so you can use this space to describe character, talents, skills, or other qualities that will support the NCFONAC's mission to implement the recommendations of the Institute of Medicine / National Academy of Medicine Future of Nursing Report.