2011-2012 ONSA Board of Director Application To Run For Office

1. Default Section

Name: *

College of Nursing *

Address: *

Address 2:

City/Town: *

State: *

ZIP/Postal Code: *

Email Address: *

Phone Number: *

I am currently enrolled in a state approved nursing program

A student in good standing with my stated College of Nursing Program

Active Member of ONSA

President (needs 1 year of experience on board)

1st VP

2nd VP

Treasurer

Secretary

Newsletter Editor

Community Projects Director

Break-Through to Nursing Director

Membership Director

Director at Large

Other (please specify)