Appoint an NLN Ambassador

Please use this form to appoint an NLN Ambassador for your school. Ambassador terms are for two years and can start anytime, but will always end on December 31 of a given year.

1. Name of your school: *This question is required.

2. First and last name of the dean/director: *This question is required.

3. Email address of the dean/director: *This question is required.

4. NLN agency ID number for your school:

5. Name of the new ambassador: *This question is required.

6. Email address for the new ambassador: *This question is required.

7. When you log into your NLN account on the NLN website, is the new ambassador included on your faculty roster? *This question is required.

If the new ambassador is not included on your NLN faculty roster, you will need to add them before we can add them as an NLN ambassador. For more information on how to log into your agency account, please call the NLN at 1-800-669-1656 and ask for the Membership Department.

8. Your reason for appointing a new NLN Ambassador:

9. Please enter the name of your previous ambassador. If you do not know the name of the previous ambassador, please write "not available." *This question is required.