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2025 WNA Consent to Serve

The WNA Board of Directors is excited to announce the opening of Directors at Large to join the Board. Preference will be given to WNA members based on variety of educational background, practice/employment background and geographical location to ensure a diverse representation for nurses across Wyoming. Applications are due by January 1, 2025. Individuals will be contacted by the Board and appointed at the January WNA Board Meeting.
1.Name(Required.)
2.Credentials(Required.)
3.Email Address(Required.)
4.Mailing Address(Required.)
5.Education - Highest Level and School(Required.)
6.Employer and Current Position(Required.)
7.Experience relevant to the position:(Required.)
8.Elected Offices or other Volunteer Positions Held:(Required.)
9.I am a WNA Member and interested in serving in the following position.(Required.)
10.Please include any other additional comments you would like to add.(Required.)
11.Please type your name to agree with the below statement.
I have read the WNA Bylaws and duties for this office and if appointed, I will serve WNA the interest of professional nursing and abide by the WNA Bylaws, Annual Meeting, Board policies and the ANA Code of Ethics for Nurses. If appointed, it is my obligation to attend meetings and do the work of the position. If I am unable to fulfill this commitment, I will resign. Upon appointed, I will receive links to the following forms that must be completed prior to the first meeting. 1. Volunteer Participation Agreement 2. Conflict of Interest Policy. Completion of the line below serves as the electronic signature of the individal completing this form.(Required.)
12.Date Submitted(Required.)
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