1.Name

2.Are you an ASNA member? (Some committees require membership)

Yes

No

3.Best email address to contact you is....

4.On which committee would you like to serve? (Check all that apply.)

Membership Committee

Legislative Advisory Committee

Continuing Education Committee

Leadership ASNA Steering Committee

Convention Planning Committee

FACES Planning Committee

Awards and Nominations Committee

Ethics, Equity, and Engagement Committee

Governance Committee

Finance Committee

Committee on Professional Issues (COPI)

Access to Care Committee