2026 Roanoke Valley Chapter Position Interest Form

  • Roanoke Valley Chapter Position Interest and Consent to Serve Form

    All submissions must be submitted by 11:45 pm on May 22, 2026. Please note that all information will be shared as submitted with the nominating committee, board, and VNA membership as needed. To self-nominate for a leadership position, you need to be a current VNA member.
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  • Position Descriptions:

    Student Outreach Chair (2 year term to begin on 1/1/2027 and conclude on 12/31/2028)

    • Serve as a liaison between VNA and the VA schools of nursing, chapter leadership, and VNA staff.
    • Help with the Foundation’s annual chapter scholarship and plan your annual chapter student outreach event. Submit event details to VNA.
    • Assign work to committee members, coordinate outreach to local deans and directors in relation to student outreach and coordinate requests to VNA staff for assistance.
    • Foster collaboration and community engagement with the SNAs & local deans in your chapter area and share any new or updated contact information with VNA.

    Government Relations Chair (2 year term to begin on 1/1/2027 and conclude on 12/31/2028)

    • Serve as a liaison between the chapter leadership, partnering nursing organizations, and VNA staff.
    • Help plan your chapter’s advocacy meetings and submit event details to VNA’s Communications and Advocacy Manager.
    • Develop relationships with local legislators.
    • Participate in VNA’s Lobby Day (January), attend the live program or view ondemand VNA's Virtual Legislative Summit (September), and attend the virtual Commission on Government Relations meetings (throughout the year).

  • Relevant Experience/Roles
    Please describe your relevant leadership experience in each category below. (75 word maximum per section). Please note that your responses will be shared AS WRITTEN (unedited) along with your headshot/photograph with all VNA members for voting purposes.

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  • Candidate Statement
    Please submit a statement describing why you are the ideal candidate for the position. (150 word maximum)

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  • OPTIONAL: As part of our commitment to ensure representation from diverse individuals and perspectives, we ask our potential candidates for board and nominating committee positions to provide demographic data. 


  • Certification and Consent to Serve

     

    By clicking the electronic consent box below, I certify that I wish to run for the Virginia Nurses Association position indicated above. I understand the duties and responsibilities involved in this office and, if elected, I agree to serve and abide by the VNA bylaws, board policies and actions, and the ANA Code for Nurses. I understand that checking this box serves as my electronic signature.

     

    I certify my understanding that VNA policy requires that no officer or director of the board shall serve concurrently as an officer or director of a board of another association or body if such participation might result in conflict of interest to VNA or the individual as determined by the board. I also understand that I may be requested to provide the Committee on Nominations with additional information to facilitate the development of the slate of candidates.

     

    Further, I understand that checking the box below serves as my electronic signature and indicates my consent to serve if elected. My signature below further confirms that, in accordance with the above referenced VNA policy, I do not hold membership on a board of directors or other governing body of any other organization which could result in a conflict of interest.

     

    I certify that the information on this form is true and accurate to the best of my knowledge.

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