Consideration for LPN Appointment to the Oklahoma Board of Nursing for 2025

Thank you for your interest in serving on the Board of Nursing. The ONA Board will review your application and then submit a list of names to the Governor for consideration for appointment.

The LPN opening is for a nurse in Long Term Care living in a county with a population of less than 40,000 within the geographical districts of 1, 2, 3, or 7

Question Title

* 1. I'm licensed as a:

LPN

Question Title

* 2. Which statute designated Geographical District do you live in?

District 1 - Cimarron, Texas, Beaver, Harper, Woods, Alfalfa, Grant, *Kay, Ellis, Woodward, Major, *Garfield, Noble, Dewey, Blaine, Kingfisher and *Logan;

District 2 - Roger Mills, Custer, Beckham, Washita, Caddo, Greer, Kiowa, Harmon, Jackson, *Comanche, Tillman and Cotton;

District No. 3 - *Canadian, *Grady, *McClain, Garvin, *Stephens, Murray, Jefferson, *Carter and Love;

District 7 - *Osage, *Washington, Nowata, Craig, Ottawa, Pawnee,*Payne, *Rogers, Mayes and *Delaware; and

Question Title

* 3. First Name

Question Title

* 4. Last Name

Question Title

* 5. Credentials

Question Title

* 6. Home Steet Address:

Question Title

* 7. City

Question Title

* 8. County

Question Title

* 9. State

Question Title

* 10. Zip Code

Question Title

* 11. Phone Number

Question Title

* 12. Email

Question Title

* 13. Present Nursing Position (title, employer, and city)

Question Title

* 14. I work in

Long Term Care

Acute Care

Primary Care

Other (please specify)

Question Title

* 15. List Professional and Community Activities

Question Title

* 16. Please provide a statement (100 words or less) of why you are interested in serving on the Oklahoma Board of Nursing.

Question Title

* 17. Are you able to meet deadlines and do so regularly and on time?

Yes

Question Title

* 18. Have you reviewed the Board of Nursing time commitment requirements and are able to meet them?

Yes

Question Title

* 19. Are you aware of the statutory grounds for removal from the Board? This includes not being employed in nursing for a period of 12 consecutive months during your term.

Yes

Question Title

* 20. Have you discussed your interest with your supervisor and received support from your organization?

Yes

Question Title

* 21. If you wish to submit your CV/Resume, please attach here.

PDF, DOC, DOCX file types only.

Choose File