MNSA BOD Application

Name*

First NameLast Name

Preferred Name*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone*

Email (preferably your school email)*

example@example.com

School*

NSNA/MNSA Member Number*

Expected Graduation Date*

Date

Current GPA*

Desired Position*

*Elect positions do not hold the same duties or voting power as the BOD position. You will learn the role to take the seat when the current officer's term is up, upon their graduation, resignation, or removal.

If you would like to challenge a current board member for their position, please choose which position.

*every position can be challenged each year at the HOD during the annual convention

Would you be interested in other positions if the NEC finds your qualifications better suited for a different position?*

YesNoDepends on position

What is your current commitment level in your school's Student Nursing Association? The National Student Nurses Association? [Please list ANY positions that you hold on your local or the National board and when the term will end. Per the MNSA bylaws, you cannot hold an executive office (President, 1st VP, 2nd VP, Secretary, or Treasurer) on both boards (state & national) at the same time.]

Describe your involvement in other activities (volunteer work, sports, committees)

What leadership positions/roles have you held at school or work?

What qualities do you possess that make you a strong candidate for the Board of Directors position that you are applying for?

I have read the position descriptions found in the MNSA Bylaws and fully understand the responsibilities of the position(s) I am seeking. I state that, if elected, I will perform my duties as an officer to the best of my abilities, and abide by the codes of conduct dictated by the MNSA and NSNA. Any failure in fulfillment of these duties may be grounds for dismissal from the MNSA Board of Directors. My signature verifies that I have completed this document truthfully and to the best of my ability and signifies that I have read and accepted the above

Candidate Signature*

Date*

Date

Letter of Recommendation from SNA Faculty Advisor or other school faculty/staff

Please ensure their contact information is provided

Letter of Recommendation from a student/peer.

Please ensure their contact information is provided

Upon review and acceptance of this application, it will be signed and dated by the Nominations and Elections Chairperson, and the candidate will be contacted so he/she can be slated for the appropriate position.

MNSA Board of Directors Application