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Consent to Serve on the Board of Directors
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Name
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Address
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Preferred Phone Number
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Email Address
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Committee Interest
Peer Support Committee
Education Committee
Fundraising Committee
Finance Committee
Marketing, Communication, and Outreach Committee
Why are you interested in this position?
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Education
Option 1
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Professional experience
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Areas of expertise and interest
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Volunteer offices held
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Are you, or has someone close to you, been affected by Substance Use Disorder?
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Please type your name and today's date as your signature agreeing to this statement:
If appointed, I promise to serve to the best of my ability in the best interest of nurses and nursing. I understand the duties of the office as set forth in the Bylaws of the Nursing Peer Support Network.
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