2023 Board Position Nomination Form

Submitter Name

Submitter Institution

Submitter Email

Who are you nominating?

I nominate myself

I nominate someone else

Nominee Name

Nominee Institution

Nominee Email

Year Nominee Joined the ANA

ANA Board and Committee Positions Held by Nominee (Past and Present)

Please select the position for which the nominee is best suited (Select one).

President Elect

Secretary

Director (Board Member)

Nominee Biographical Information (up to 250 words)

Upload Nominee CV

Nominee’s Personal Statement

Please include the following:

Specific contribution to the ANA prior to board or committee work
Reasons for wanting to serve on the board (as which position)
What you hope to accomplish by serving on the board
Ability to meet time commitment
Any other experiences that will foster success (President/board of other societies, chair of department, leadership training, etc.) Maximum length: one page.

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