AzNA Consent to Serve - Board of Directors and Committee Election
(Even Year)

View position descriptions here: https://www.aznurse.org/2026election

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* 1. Name

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* 2. Credentials

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* 3. Email Address

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* 4. Phone Number

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* 5. Home Address

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* 6. Employer Name

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* 7. Job Title

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* 8. Work Phone Number

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* 9. Employer Address

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* 10. Which AzNA chapters are you currently a part of?

Central Arizona Chapter 1

Tucson Chapter 2

Northern Arizona Chapter 5

Yuma Rio Colorado Chapter 7

Nurse Educator Chapter 6

Arizona Nurse Practitioner Council Chapter 9

Question Title

* 11. What position would you like to be considered for?

Treasurer

Director at Large

Bylaws Committee

Nominations Committee

ANA Membership Assembly Representative

AzNA Consent to Serve - Board of Directors and Committee Election(Even Year)

Question Title

* 1. Name

Question Title

* 2. Credentials

Question Title

* 3. Email Address

Question Title

* 4. Phone Number

Question Title

* 5. Home Address

Question Title

* 6. Employer Name

Question Title

* 7. Job Title

Question Title

* 8. Work Phone Number

Question Title

* 9. Employer Address

Question Title

* 10. Which AzNA chapters are you currently a part of?

Question Title

* 11. What position would you like to be considered for?

AzNA Consent to Serve - Board of Directors and Committee Election
(Even Year)