2024 ARN Professional Reference Form - Board of Directors & Nominating and Leadership Development Committee

Introduction

You have been selected as a professional reference for an ARN member who has submitted a candidate application for a position on either the ARN Board of Directors or the Nominating and Leadership Development Committee. The information you provide will assist the Nominating and Leadership Development Committee in forming their recommended slate of candidates. You may also be contacted by members of the ARN Nominating and Leadership Development Committee in May for an interview about the candidate.

Please complete the enclosed reference form no later than Noon CT on April 25th, 2024.

If you have any questions about the reference form, please contact Gayle Irvin, Executive Director at GIrvin@rehabnurse.org.

Question Title

* 1. Reference Information

Name

Credentials

Question Title

* 2. Candidate Information

Name

Credentials

Question Title

* 3. On what level do you know the applicant?

Chapter Level

National Level

Work Colleague

Question Title

* 4. How long have you known the applicant?

1-2 years

3-5 years

6-10 years

11 or more years

Question Title

* 5. The candidate listed above is submitting an application for the following position:

ARN Board of Directors Director at Large (two-year term)

ARN Nominating and Leadership Development Committee Member (two-year term by appointment)

ARN Board of Directors President-Elect (one-year term followed by one-year as President)

ARN Board of Directors Secretary/Treasurer (3 year term)