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LANA Nomination Form

Nominate yourself or another CRNA. This is your organization and you can make it better!!!!

 

LANA NEEDS LEADERS! CRNAs ARE NATURAL LEADERS!

VOLUNTEERS NEEDED TO LEAD CRNAs

Place your name – or a friend’s name – in Nomination to lead LANA in this decade.

or a friend’s name – in Nomination to lead LANA in this decade.

POSITIONS AVAILABLE IN 2011:

(ALL ACTIVE MEMBERS OF LANA ELIGIBLE TO HOLD OFFICE/BOARD POSITIONS IN LANA)

President-Elect – 1 year term (Previous experience of at least 1 year on LANA Board required to qualify)

Secretary 2 year term (No previous experience required to qualify)

Board Member 3 positions available – 2 year term each position

– 1 year term (Previous experience of at least 1 year on LANA Board required to qualify)

Secretary 2 year term (No previous experience required to qualify)

Board Member 3 positions available – 2 year term each position

2 year term (No previous experience required to qualify)

Board Member 3 positions available – 2 year term each position

3 positions available – 2 year term each position

(No previous experience required to qualify)

LANA NOMINATION FORM 2011

Desired Position: (Please check choice)

(Please check choice)

PRESIDENT-ELECT SECRETARY BOARD OF DIRECTORS

Name: Telephone # AANA #

Address: City Zip:

Position Statement:

Professional Achievements / Work Experiences :

(Please use plain type paper for additional space if necessary)

Mail Form : Patricia Newman CRNAMS

Chair, LANA Nomination Committee 2010-2011

670 Magnolia Ridge Dr East

Mandeville, Louisiana 70448

Nominees will be contacted by mail & phone regarding acceptance of nomination

DEADLINE POSTMARK MARCH 31, 2011

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