For WSNA elected offices and Cabinet, Councils and Committee appointments

Thank you for your interest in serving WSNA at the state level! We are confident that you will find this to be personally and professionally rewarding. Before completing this form, please refer to Volunteer Expectations in WSNA's Handbook for Board, Cabinet, Council & Committee Members and review the expectations for participation on a board, cabinet, council or committee at WSNA. Then, please turn to the Volunteer Opportunities section and think about how you would like to serve your state nurses' association.

Once you have decided, complete and submit the Consent to Serve form.
Member Information

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* 1. ACKNOWLEDGEMENT: By submitting this Consent to Serve form, I am consenting to be appointed or elected to the position(s) specified on the following pages of this form, and if seated will fulfill the volunteer expectations as described in WSNA’s Handbook for Board, Cabinet, Council & Committee Members.

Initial here.

  • All wishing to be considered for election or appointment, please complete the first two pages (“Member Information”), and sign the last page (“Commitment and Signature”)
  • If seeking a cabinet, council, or committee appointment, then also complete the third page (“Appointed Positions”).
  • If seeking elective office, then also complete the fourth page (“Elected Positions”).
NOTE:
  • All positions are unpaid. Out of pocket travel expenses may be reimbursed in accordance with WSNA policy,
  • All positions are for two-year terms unless otherwise noted.
  • Proficiency with use of email is recommended since most business outside of meetings is done electronically.
  • Proficiency with use of electronic meeting platforms (e.g. Windows Teams) is necessary as meetings held during the pandemic are virtual.

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* 2. Your information:

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* 3. Ethnicity (for statistical purposes only)

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* 4. Gender Identity (for statistical purposes only)

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* 5. Please state your initial and highest degrees in nursing and non-nursing

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* 6. Professional experience:

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* 7. Prior professional work experience

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