Committee Request
T.E.A.M Nurses: If you are interested in joining a committee, please complete the form below.
Sign in to Google to save your progress. Learn more
Name *
First and last name
Email *
Phone number *
Commitment
Joining a committee of T.E.A.M nurses requires one monthly call of one hour per month with committee chairperson and committee members. It is expected that you will provide appropriate input and ideas to help elevate the organization. All information shared during calls and as part of the committee is confidential. If you miss more than three consecutive months you may be removed from the committee and would have to request to rejoin. Committee members may be limited to 5 members, not including chairperson.
Which committee(s) are you interested in? *
Required
Member or Volunteer
Clear selection
Will you commit to at least one monthly committee call and completion of assigned tasks?
Clear selection
Your request will be reviewed but the committee chairperson and you will be notified by email.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Train educate and mentor nurses. Report Abuse
Google Forms