RI-ANA Consent to Serve and Self-Nomination

CONSENT TO SERVE and SELF-NOMINATION

2025 Elections
I am interested in active participation in the American Nurses Association-Rhode Island as a candidate for the following open elective offices:*

President (2 year term)Treasurer (2 year term)Clinical Nurse. Must have 5 years of experience or less (2 year term)Director-at Large (2 year term)
For more information about the duties of the Board of Directors positions please refer to the 2020 ANA-RI Bylaws Article IV, Board of Directors, Section 3.

MUST BE A MEMBER OF ANA-RI FOR A MINIMUM OF 1 YEAR TO RUN FOR A BOARD POSITION
Full Name*

First NameLast Name
Credentials*
I am an ANA-RI Member*

YesNoOther
Membership Number*
Position Statement: Briefly state your rationale for running for the position you have indicated above. You may include your personal views on nursing and current issues including, if elected, what your major contribution(s) would be to ANA-RI and in particular to the position you have indicated above. You may want to include past offices, committees, association membership, nonprofit work, etc. (This will be shared with ANA-RI members who will vote in this election.)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
I certify that the above information is accurate. I hereby submit my consent to serve, should I be elected to the position for which I have indicated interest.
Date*
Signature*
Upload your bio, resume or CV. (This will not be shared beyond the Board of Directors).

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CONSENT TO SERVE and SELF-NOMINATION