Texas ENA 2019 Committee Chair/Chair-Elect Application

Submission due October 31, 2018

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* 1. Enter your name and credentials

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* 2. Which committee position are you applying for?

Awards and Honors Chair

Government Affairs Chair-elect

Membership Chair-elect

Nursing Practice Chair-elect

Scholarship Chair-elect

TNCC/Trauma Chair-elect

Injury Prevention chair-elect

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* 3. Please enter your contact information

Cell Phone

Address

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* 4. Are you willing to fulfill the duties of chair including attending all State Council Meetings during your appointed term?

Yes

Unsure

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* 5. What is your home chapter?

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* 6. How many state council meetings did you attend in 2018?

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* 7. Do you have support from your work supervisor to attend State Council meetings and complete the work of the committee?

Yes

Unsure

By submitting this application, you will be considered for the position applied. The 2019 President will reach out to you via email or phone to appoint the final chair/chair-elects.