MANA 2026-2027 Board of Directors Application
Deadline May 27, 2026
If you are interested in serving as President-Elect or Treasurer-Elect you must have served on the Board of Directors for at least one year. No prior board service is needed when applying for Director Position. Only active or active recertified CRNA members may serve as Officers or Directors of MANA.
The information provided on this form will be used on the ballot sent to MANA Membership.
Name
*
First Name
Last Name
Credentials
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Please indicate the Board Position you are applying for:
*
President-Elect (1 year as PE; 1 year as President)
Treasurer-Elect (1 year as TE; 1 year as Treasurer)
Director (2 years as a Director)
Provide a brief, biographical statement. In 3-5 sentences, please share a little bit about yourself. Include how you have been involved in your state association or AANA.
*
Provide a statement on why you are interested in serving in this position.
*
Upload your headshot to be used on the ballot.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: