Thanks for taking the time to nominate a candidate for NAHN's 40 Under 40 recognition program. We want to recognize younger members of our organization who are helping to fulfill NAHN's mission, engaging the community on behalf of NAHN, and providing critical volunteer assistance at the chapter and national level. Please use this form to nominate a young person who is going the extra mile to serve the Hispanic community and honor the profession of nursing.

* 1. Personal contact information of nominee.

* 2. Provide the following information about your employer.

* 3. Additional nominee information.

* 4. Please indicate the position you are seeking. (Only one position per submission).

* 5. Please describe your NAHN experience and other qualifications for seeking this office.

* 6. Please provide your platform statement (150 words maximum)

* 7. By entering your name as a digital signature in the space provided below you are confirming that you are a current member of NAHN and that the information you provided is true and up to date.