I am interested in participating in an elected position of the Oklahoma Nurses Association and have read the ONA Bylaws found here. I consent to serve in the following position if elected by the ONA membership.

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* I am interested in serving as a candidate for the position of

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* First Name

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* Last Name

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* Home Steet Address:

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* City

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* State

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* Zip Code

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* Phone Number

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* Email

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* Credentials

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* ONA/ANA Membership

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* Educational Preparation (school, location, degree, year)

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* Present Nursing Position (title, employer, and city)

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* Present Association Activities (ANA, ONA, DNA)

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* Other Professional and Community Activities

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* Candidates should give a statement (NOT TO EXCEED 100 WORDS) indicating views on nursing and issues facing ONA and a position on these issues. This statement may be published in The Oklahoma Nurse.

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* Electronic Photo

PNG, JPG, JPEG file types only.
Choose File

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* Electronic Signature

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