Application - ANNA Conferences Committee Conferences Committee Application Question Title * 1. Your Contact Information: Your Name List Credentials Email Preferred Phone Question Title * 2. What is your current professional role? Question Title * 3. How long have you been a member of ANNA? Question Title * 4. What is the expiration date of your ANNA membership? Question Title * 5. What is your area of focus/interest in nephrology nursing? Question Title * 6. Have you ever served in another national leader roles with ANNA? If yes, please list them here: Question Title * 7. Have you ever attended these ANNA meetings? Yes No Nat'l Symposium Nat'l Symposium Yes Nat'l Symposium No Fall Meeting Fall Meeting Yes Fall Meeting No Comments: Question Title * 8. Why are you interested in serving on the Conferences Committee? Question Title * 9. According to the Role Description, are you qualified for this role? Yes No Other (please specify) Question Title * 10. Please rate your skill level in these areas: Excellent Very good Adequate Needs work General computer skills General computer skills Excellent General computer skills Very good General computer skills Adequate General computer skills Needs work Email communication Email communication Excellent Email communication Very good Email communication Adequate Email communication Needs work Saving/attaching files Saving/attaching files Excellent Saving/attaching files Very good Saving/attaching files Adequate Saving/attaching files Needs work Organization skills Organization skills Excellent Organization skills Very good Organization skills Adequate Organization skills Needs work Meeting deadlines Meeting deadlines Excellent Meeting deadlines Very good Meeting deadlines Adequate Meeting deadlines Needs work Word Word Excellent Word Very good Word Adequate Word Needs work Excel Excel Excellent Excel Very good Excel Adequate Excel Needs work PowerPoint PowerPoint Excellent PowerPoint Very good PowerPoint Adequate PowerPoint Needs work Question Title * 11. How have you participated in planning and developing CNE? Question Title * 12. What is the greatest strength you bring to the Conferences Committee? Question Title * 13. Is there anything else you would like to share with the Committee? Done
