Is there a situation or relationship involving you which might create, or give the appearance of creating, a conflict of interest with your position as a director, committee member or employee of Indiana Center for Nursing, Inc.?*
If yes, please explain: I attest that the information given above is true, complete and accurate in all respects. I agree to advise the chairman of the ICN Board (if a director), the committee chair (if a committee member), and the ICN CEO (if an employee) when any change in circumstances occur that would change any of my answers above.*Please enter your full name in box.
Meet the ICN Board of Directors
2019 – 2021 Strategic Plan
Career Pathways in Nursing