COSP - Sharing of Accomplishments

COUNCIL OF STATE PRESIDENTS

SHARING OF ACCOMPLISHMENTS
State*
Name of State Association:*
Contact Name:*

First NameLast Name
Email*

Confirmation Email
Contact Phone Number
Format: (000) 000-0000.
State Association Website Address
Name of State Consultant

First NameLast Name
State Consultant Email
Name of State Consultant

First NameLast Name
State Consultant Email
YesNo
Yes printed and mailed onlyYes online onlyYes both online and printed and mailedNo, we do not have a state newsletter
YesNo
What is the URL for the Facebook page?
YesNo
What is the handle for the Instagram?
List other communication methods
State Convention Information:
Date of Convention

MonthDayYear
Place of convention (i.e. name of hotel):
City and State of Convention:
YesNo
ACCOMPLISHMENTS

Please list and describe some recent accomplishments.
Membership Recruitment:
Image of Nursing:
Breakthrough to Nursing:
Health Policy/Advocacy:
Ethics and Governance:
Population/Global Initiatives:
Resolutions:
Fundraising:
Finances:
Other:
What is your associations Employee Identification Number?
YesNoUnsure
YESNOUnsure
Does your association have:
YesNoUnsure
YesNoUnsure
YesNoUnsure
YesNoUnsure
YesNoUnsure
Additional Comments to Finances:
Please list the annual events your state association hosts or co-hosts. Briefly describe each:
Please list one event or activity that your highly recommend other assocaitions consider implementing.
Assistance needed:
Additional Comments:
Thank you for your time and dedication to NSNA!
Should be Empty:

COUNCIL OF STATE PRESIDENTS