Thank you for your interest in serving on the Domestic Violence Fatality Review Board (DVFRB). The ONA Board will review your applications and then submit a list of names to the Attorney General for consideration for appointment. 

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* First Name

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* Last Name

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* Credentials

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

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* Present Association Activities - Please include ways you are involved in ONA/ANA, if applicable.

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* Please share your domestic violence-related training and experience.

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* List other Professional and Community Activities

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* Please provide a statement (100 words or less) of why you are interested in serving on the Domestic Violence Fatality Review Board.

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* Have you discussed your interest with your supervisor and received  support from your organization?

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* Please submit your CV/Resume here.

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