Clone of 2025 Hawai'i-ANA Consent to Serve and Self-Nomination Form

CONSENT TO SERVE and SELF-NOMINATION

2026 Elections
I am interested in active participation in the Hawai'i - American Nurses Association as a candidate for the following open elective office (choose one):
For more information about these open positions please refer to:

Position Roles and Responsibilities

For your reference, Hawai'i-ANA Bylaws 2025
Full Name

First NameLast Name
Credentials
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
example@example.com
Phone Number

Area CodePhone Number
I certify that the above information is accurate. I hereby submit my consent to serve, should I be elected to the position for which I have indicated interest.
Date
Signature (electronic is fine)
Position Statement: Briefly state your rationale for running for the position you have indicated above. You may include your personal views on nursing and current issues including, if elected, what your major contribution(s) would be to Hawai’i–ANA and in particular to the position you have indicated above. You may want to include past offices, committees, association membership, nonprofit work, etc. (This will be shared with Hawai'i-ANA members who will vote in this election.)
Upload your bio, resume or CV. (This will not be shared beyond the Nominating Committee.)

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2026 Election: Candidate Campaigning - OPTIONAL

A New Way to Campaign

To ensure a fair, professional, and consistent representation of all our leaders, Hawai'i-ANA is introducing a centralized social media campaign for the 2026 election cycle. We want to help our members get to know you! Hawai’i-ANA will feature every candidate on our official social media platforms using a standardized template designed specifically for this election.
Headshot: Please upload a high-resolution photo. A clear, well-lit headshot with a neutral background works best for our digital templates.

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Current Role & Credentials: Your preferred name, professional credentials (e.g., BSN, RN, APRN), and current job title/organization.
Campaign Slogan: A short, catchy tagline that captures your vision or leadership style (e.g., "Advocating for Every Nurse" or "Leading with Aloha").
Candidate Statement: A brief 2–3 sentence summary explaining why you are seeking this position and what you hope to contribute to the Hawai'i-ANA Board or Nominating Committee.
Optional - Top Three Priorities. Three bullet points or short phrases highlighting what you want to focus on if elected.
Optional - Professional Link: A link to your LinkedIn profile or a professional bio for voters who wish to learn more about your background.
Important Details:

Consistency is Key: By using a uniform template, we ensure that every candidate receives equal visibility and a professional presentation to our membership.
Deadlines: All materials must be submitted by August 12, 2026. Submissions received after this date may not be included in the social media rollout.
Sharing Your Feature

Once your candidate spotlight is posted to the Hawai'i-ANA social media pages, we encourage you to share, like, and repost it to your personal networks to increase your reach!
Mahalo for your willingness to serve and lead the nursing profession in Hawai'i.

We look forward to highlighting your candidacy!
Candidate Attestation and Consent
I certify that the information provided in this campaign submission is accurate and complete. By submitting these materials, I grant Hawai'i-ANA explicit permission to feature my name, professional credentials, headshot, and candidate statement on official social media platforms, the organization website, and in other public election communications.

I understand that this centralized campaigning approach is designed to provide consistent, fair, and professional visibility for all candidates. I also acknowledge that Hawai'i-ANA reserves the right to lightly edit my statements for length or clarity to ensure they fit correctly within the social media templates.
Signature
Date

MonthDayYear
Date
Should be Empty:

CONSENT TO SERVE and SELF-NOMINATION

Sharing Your Feature