2012 LANA Nominations

LANA NEEDS LEADERS!

CRNAs ARE NATURAL LEADERS!
Volunteers are Needed to Lead CRNAs

All active LANA members are eligible to hold Office/Board positions.

Positions available in 2012:

Officer Positions require one-year of LANA Board Experience

• President-Elect --- 1 year term
• Vice-President --- 1 year term
• Treasurer --- 2 year term
• 2 Board Member positions available --- 2 year term

( No experience required )

Nominate yourself or a colleague to Lead LANA! _________________________________________________

LANA NOMINATION FORM 2012

Desired Position:  ☐President-Elect   ☐Vice-President   ☐Treasurer   ☐Board of Directors

Name: _________________________________________________________________________________________________________

Address: _________________________________  City/State/Zip_________________________________

_________________________  Telephone # (______) ________-_____________AANA # ____________

Position Statement:   _________________________________________________________________________________________________________

_________________________________________________________________________________________________________

Professional Achievements / Work Experiences: ___________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

(Please attach plain type paper for additional space if necessary.)

Mail Form To:

C’Lita Henry-Lombard, CRNA, MS
LANA Nomination Committee 2012-2013
4841 Lennox Blvd
New Orleans, LA 70131

**DEADLINE: postmark March 31, 2012**

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