Full Independent Practice Authority Questions Question Title * 1. Please enter your questions you would like answered by the Arkansas State Board of Nursing and/or the Full Independent Practice Authority Committee about removal of Collaborative Agreement Question Title * 2. Are you encountering any problems completing your application requirements? Yes No Question Title * 3. If you are having problems completing your application requirements, please enter them here so ANPA can collect data to address the problem(s). Please include your area of the state (i.e. city, county...) Question Title * 4. If you would like follow up, please include your personal information/contact. Name Company Address Address 2 City/Town ZIP/Postal Code Email Address Phone Number Submit