2025 Hawai'i-ANA Consent to Serve and Self-Nomination Form

CONSENT TO SERVE and SELF-NOMINATION

2025 Elections
I am interested in active participation in the Hawai'i - American Nurses Association as a candidate for the following open elective office (choose one):

President-Elect - 1 Position openSecretary - 1 Position openNeighbor Island Director - 1 Position openDirector-at-Large - 2 Positions openNominating Committee - 2 Positions open
For more information about these open positions please refer to:

Position Roles and Responsibilities

For your reference, Hawai'i-ANA Bylaws Adopted 2023 .pdf
Full Name*

First NameLast Name
Credentials*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
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 (electronic is fine)*
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 Hawai’i–ANA 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 Hawai'i-ANA members who will vote in this election.)
Upload your bio, resume or CV. (This will not be shared beyond the Nominating Committee.)

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CONSENT TO SERVE and SELF-NOMINATION