National Office Request to Run for 2025-26 Board and NEC

Request for Application and Information

to run for 2025-2026 Board of Directors and Nominating and Elections Committee
Please complete this form to request a packet of information on running for the NSNA Board of Directors and the Nominating and Elections Committee. (Red Stars indicate required fields)

This is not an application--it is a request for an application.
Choose one*

Mr.Ms.
Full Name*

First NameMiddle (optional)Last Name
Address*
City*
State*
Zip*
Cell Phone*
(or Primary Phone)
Home Phone
(Optional)
Email*

Confirmation EmailClick here then click "Sub Label" above to change this text
NSNA Membership Number*
Expiration Date*

MonthDayYear
School Attending*
Include School Name, City and State
Type of Program

AssociateDiplomaBaccalaureateRN to BSNOther
Office of Interest
Optional. You can decide later.
Expected Graduation Date*
Expected Grad Date
Election Area

NorthSouthEastWestDon't know
Questions or Comments
Where did you hear about running for the NSNA Board of Directors and the Nominating and Elections Committee?

FacebookFacultyImprintInstagramNSNA Broadcast EmailNSNA MemberNominating and Elections Committee memberOther
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Request for Application and Information