American Nurses Advocacy Institute (ANAI) Application
Applications must be submitted by Friday, May 9, 2025
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
ANA/SNA Membership Number
*
Number of years as an ANA-NY member
*
Provide a brief response to the following questions:
Why should ANA-NY select you to attend ANAI?
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How have you been involved with advocacy at your state or national level over the last few years?
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What do you hope to learn and takeaway from ANAI that will benefit ANA-NY and the nursing profession?
*
If selected, I agree to full participation in 2025-2026: attending in-person sessions in Washington, DC, August 26-28, and attending periodic discussion calls every other month.
*
Submit
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