MANA 2026-2027 Student Representative Application
Deadline May 27, 2026
If you are interested in serving as Student Representative for MANA, you must be currently enrolled in one of the four MN Nurse Anesthesia Programs.
The information provided on this form will be used by the current MANA BODs.
Name
*
First Name
Last Name
Credentials
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
School
*
Anesthesia Program Start Date:
*
Anticipated Date of Graduation:
*
I have permission from my Program Director to apply for and accept this Student Representative position if appointed by the MANA BODs.
*
Yes
No
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.
*
What are your goals as a MANA Student Representative?
*
Submit
Should be Empty: