National Student Nurse's Association, Inc.
45 Main Street, Suite 606, Brooklyn, New York 11201
(718) 210-0705 FAX (718)797-1186
State Board of Directors Roster Form
Send to NSNA Immediately following Annual Elections
Please note that all students serving as state officers, board members, regional directors, and on state committees etc. MUST be current student NSNA members.
Urgent: Please complete this form immediately after the election of officers. A current state board roster and EIN# (see below) must be received by NSNA before state dues are transmitted via ACH to the state board's bank account. Note that NSNA collects dues for state associations and transfers state dues monthly to the authorized state board bank account.
NSNA adds the names of state leaders to the NSNA database and important mailings and emails go out to state officers. Any change in address should be reported immediately. Please complete all information. In the area marked "Replacing," indicate the name of the individual who held the position prior to this election. Remember to include consultants and staff when applicable.