1.Basic Information

Full Name

Email Address

Phone Number

Mailing Address, City, State, and Zip Code

2.Primary Role and Specialty

3.Credentials

4.Employer or Organization

5.Which ANIEA committee(s) are you interested in?

Education Committee

Community Initiatives Committee

Global Outreach Committee

Advisory Board

6.After reviewing ANIEA’s mission and vision, what aspects resonate most with you, and why are you interested in joining an ANIEA committee?

ANIEA's Mission
The Alliance for Nursing Innovation, Education, and Advocacy (ANIEA) is dedicated to strengthening the nursing profession through three core goals: supporting nurses in transitioning to educator and faculty roles, building meaningful global partnerships, and advancing community outreach and initiatives that promote health equity. Through collaboration, innovation, and advocacy, ANIEA advances nursing education by nurturing leadership development, centering diverse voices in academic nursing, and designing sustainable programs that respond to workforce, educational, and community priorities locally and globally.

ANIEA's Vision
ANIEA envisions a dynamic, inclusive collective of nurse educators, scholars, and nursing leaders working together to reimagine the future of nursing through co-creation, mentorship, and systems change—one project at a time. We aim to enrich the profession by strengthening pathways into academic nursing, expanding global collaboration, and advancing community-centered initiatives that promote health equity, innovation, and sustainable impact for families, communities, and the global nursing workforce.

7.Upload CV or Resume here

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8.ANIEA Committee participation requires a monthly commitment of 3–5 hours, including meetings and collaborative work. By applying, you confirm that you can meet this time commitment while maintaining your personal and professional balance.

Yes

No

9.How did you hear about ANIEA?

Website

LinkedIn

Instagram

Facebook

Colleague (name) or Event (name)

10.By providing my name below, I acknowledge the expected time commitment of approximately 3–5 hours per month and understand that ANIEA committee roles are volunteer positions with a one-year renewable term. I acknowledge that participation requires collaboration, professionalism, and alignment with ANIEA’s mission, vision, and values.