Nebraska State Student Nurses Association
2026 - 2027 Student Application for NSSNA Board
The information provided on this form will be used by the Nebraska State Student Nurses Association to verify eligibility to run for office. It is important that you give complete details concerning your application. Deadline for pre-slate is 1st, 2026 at 23:59 Central Time.
NSSNA Year Applying for:
*
2026 - 2027
Eligibility Requirements
Must meet all of the following to be eligible for office:
GPA of 3.0 or above
NSNA Member
Two Individuals of Reference
Basic Information
Student's Full / Legal Name:
*
First Name
Last Name
NSNA Membership Number:
*
NSNA Membership Expiration Date:
*
.
Month
.
Day
Year
Date
Student's Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student's Phone Number:
*
Please enter a valid phone number.
Student's Personal Email:
*
example@example.com
Please insert a professional headshot of yourself in the image upload below:
Academics
Name of School Attending:
*
Program in School:
*
Traditional BSN
LPN to BSN
RN to BSN
Pre-Nursing
Accelerated Nursing
Associate
School Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Anticipated Graduation Date:
*
.
Month
.
Day
Year
Date
Academic GPA:
*
Unofficial Transcript:
*
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NSSNA Executive Board Positions
First Choice of Position:
*
Second Choice of Position:
*
Positions you would also be interested in (if not selected for either of the two listed above):
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President
First Vice President
Second Vice President
Secretary
Treasurer
Communications Editor
Image of Nursing Director
Breakthrough to Nursing Director
Community Service Director
Nominations Director
Legislative Director
Student Resume:
*
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Why do you feel you are qualified for the office in which you are seeking candidacy?
*
How can NSSNA improve communication between State and Local Chapters (please provide specific examples)?
*
What is your involvement like in your nursing program & school?
*
What is your past/current involvement in NSNA, NSSNA, and your school chapter?
*
References
These individuals should not be related to you (family), but can be individuals that are previous employers, current/past professors, neighbors, etc.
Reference 1 - Individual's Full / Legal Name:
*
First Name
Last Name
Reference 1 - Individual's Phone Number:
*
Please enter a valid phone number.
Reference 1 - Individual's Relation to Applicant:
*
Reference 2 - Individual's Full / Legal Name:
*
First Name
Last Name
Reference 2 - Individual's Phone Number:
*
Please enter a valid phone number.
Reference 2 - Individual's Relation to Applicant:
*
Submission
Signature (confirming that you are the individual listed above is the one who filled out this application):
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