Information must be provided in English. Please complete the form information and click Submit.
NETWORK GROUP COORDINATOR CONTACT INFORMATION
* Is your Network Group Coordinator a Regular Member of NANDA International?
What are the goals established for your proposed Network Group?
 You must have at least two goals.
Goal #1
Goal #2
Goal #3
Goal #4
Goal #5
Goal #6
Goal #7
Goal #8
Goal #9
Goal #10
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Please provide contact information for each of the members of your proposed Network Group:
 First NameLast NameEmail AddressNANDA-I Member (Yes or No)
Member#1
Member#2
Member#3
Member#4
Member#5
Member#6
Member#7
Member#9
Member#10
Member#11
Member#12
Member#13
Member#14
Member#15
Member#16
Member#17
Member#18
Member#19
Member#20

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