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Candidate Application Form 2022
Thank you for your interest in an elected leadership position with NHNA.
Click here for elected and appointed position descriptions
. Please complete the candidate application form and submit to the office at
office@nhnurses.org
. If you have questions or comments about the process please email Pam DiNapoli at
nhna.ned@gmail.com
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* Indicates required question
Name
*
First and last name
Your answer
Address
Your answer
Email
*
Your answer
Phone number
*
Your answer
Which position(s) are you interested in?
*
President Elect
Secretary
Board of Directors at Large
Commission on Nursing Practice
Commission on Government Affairs: Legislative Advocacy Council
Commission on Membership Engagement
Commission on Climate Action and Health
Finance Investment and Audit Committee
Required
Education
Your answer
Employment Status
Your answer
Please describe your current or past involvement with NHNA
Your answer
Briefly describe your interest in being considered for a leadership position within NHNA. Please describe how you meet the established qualifications and desired competencies for the position.
Your answer
If Elected please indicate that you will submit the following
Consent to serve form
Conflict of Interest form
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