2024 ANPA Volunteer Form

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* 1. Contact Information

Name

Address

City/State/Zip

Email Address

Primary Phone Number

District #

Degree

NP Certification

Workplace

Workplace Address

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* 2. Area of volunteer interest

District Work (with your District Representative)

Legislative Committee

Volunteer Committee

Conference Committee

Education Committee

Membership

Newsletter

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* 3. List your organizational, professional, leadership, or other experiences.

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* 4. What is your leadership style

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* 5. How long have you been a member of ANPA?

<1 year

1 year

2-5 years

Since it was founded

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* 6. How much time are you willing to volunteer?

<1 hour/week

> 2 hours/week

<1 hour/month

>2 hours/month

Other (please specify)

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* 7. What talents or skills do you wish to offer to ANPA?

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* 8. Read the attached bylaws.
https://s3.amazonaws.com/enp-network-assets/production/attachments/174813/original/ANPA_Bylaws_with_Revisions_Summer_2021.pdf?2021

Do you agree to the mission and purposes of ANPA?
By selecting Yes, you are indicating that you wish to be an ANPA volunteer. You agree to uphold the bylaws and support the mission of ANPA.

Yes

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* 9. Upload your current CV

Only PDF, DOC, DOCX, PNG, JPG, JPEG, GIF files are supported.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 10. Thank you for your interest in volunteering with ANPA. We will review your information and CV. The Volunteer chair or committee chair of interest will contact you soon.