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2023 Board Election Form
By submitting the form, I hereby give my consent to have my name placed on the INANA ballot.
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Credentials
*
Your answer
Address
Your answer
City
Your answer
State
Your answer
Phone Number
Your answer
AANA#
*
Your answer
Which position are you interested in?
*
President-elect
Secretary/Treasurer
Director at Large (two positions)
Professional Development Chair
FPD/SGA Chair
What is your education background?
*
Your answer
How long have you been a member of INANA?
Your answer
Do you participate in any other nursing related organizations?
Your answer
If you've served on an INANA committee in the past, please list.
Your answer
If you've served on an AANA committee in the past, please list.
Your answer
Where are you currently employed?
Your answer
Position Statement: Please provide a written position statement. Your position statement will be used on the INANA ballot.
Your answer
Send me a copy of my responses.
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