Clone of 2025 Virginia ENA Delegate Application

  • 2026 - Virginia State Council of the Emergency Nurses Association Delegate Application

  • The 2026 General Assembly will be held in Phoenix on Sept. 27 from 7:30 a.m. to noon and Sept. 28 from 9 a.m. to 3 p.m. in the North Ballroom of the Phoenix Convention Center.


    To be eligible to serve as a delegate for the Virginia State Council of the Emergency Nurses Association, the applicant MUST meet the following criteria:

    • Current member of the Virginia State Council (Virginia ENA).
    • Current unrestricted RN license in the Commonwealth of Virginia or District of Columbia, or hold a compact unrestricted multi-state license that includes Virginia or DC.
    • Currently practicing in either Virginia or DC, or is retired.
    • Active within the ENA at the state, special interest group, or national level.

    Ensure all areas on the application are completed and signed as required.

    Incomplete and Late applications WILL NOT be considered. 

    To apply, complete this form by the application deadline. 

    Application deadline is: 11:59 PM on June 20, 2026. 

  • Date*
     - -
  • Format: (000) 000-0000.
  • ENA Expiration Date*
     / /
  • License Expiration Date:*
     / /
  • Virginia ENA Committee Chair (20 points each)
  • Special Interest Group (SIG) Position (20 points)
  • Rows
  • Virginia ENA Membership Meeting Attendance (25 points each)
  • New Member/First Time Delegate (25 points each)
  • Rows
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  • Advanced Courses Taken OR Taught July 1, 2025 - June 30, 2026 **If you are an instructor in the course, you cannot claim provider** (30 points director/faculty, 25 points instructor, and 15 points provider)
  • Participated in 2025 National ENA voting (25 points)
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  • Participated in 2025 Virginia ENA voting (20 points) (will be validated by VENA Board)

  • Additional Involvement of Emergency Nursing July 1, 2025 - June 30, 2026.

    Please list any additional involvement that pertains to the advancement of Emergency Nursing along with a brief description. Examples include attendance at Virginia ENA Conference, EMS symposium, Day on the Hill, and/or volunteer speaker/presenter engagements are eligible if the involvements was beyond the requirements of your current ENA office or committee role and those of your job role. 

    **Validity and eligibilty of involvement will be determined by the current Virginia ENA Board of Directors**

  • Did you participate in an activity/activities supporting Emergency Nursing?
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  • Did you participate in any legislative activities in Emergency Nursing?
  • Did you publish an article in a professional nursing publication?
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  • Delegate Selection:

    Delegates to represent the Virginia ENA will be selected by the current Virginia ENA Board of Directors, guided by the points value system in this application. Each delegate will be awarded delegate funding, as determined by the 2026 budget and financial status of the council when selected. **DELEGATES MUST FOLLOW THE REIMBURSEMENT PROCEDURES OUTLINED IN THE VIRGINIA ENA PROCEDURES** Full disclosure of ALL fundings sources MUST be provided when requesting reimbursement.

    Delegate Responsibilities:

    The expectations and responsibilities of each delegate include, but are not limited to:

    • MANDATORY IN-PERSON attendance at the SEPTEMBER 4, 2026 Virginia State Council meeting that is scheduled prior to General Assembly (GA) to review and discuss proposed Bylaw Amendments and Resolutions.
    • Completes the GA delegate orientation as required by ENA with the certificate of completion sent to Virginia ENA President.
    • MUST attend ALL GA proceedings.
  • I have read, understand and agree to all information regarding delegate selection and delegate responsibilities. I understand that failure to abide by the outlined responsibilities/failure to attend all sessions of the general assembly proceedings will result in NO REIMBURSEMENT.*

  • If selected as a delegate, the Virginia State Council will provide you with two delegate shirts (color and style to be determined by the Virginia State Council Board of Directors).  Please mark what size you prefer so that the shirts can be ordered as soon as the delegate announcement is made (sizing listed below is based on previous shirt styles and may be subject to change).

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