2020 Election Official Nomination Form - States

AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
OFFICIAL STATE ASSOCIATION NOMINATION FORM
2020 Election
 (Fiscal Year 2021: September 1, 2020 – August 31, 2021)

(Visit: Election Center for nominating procedures for state associations
and additional information on the electoral process)

Enter State Name

For President-Elect

For Vice-President

For Treasurer

For Director of Region

(Nominate from your region only)

Region Number

For Nominating Committee of Region*

(Nominate from your region only)

Region

For Resolutions Committee*

(Nominate from your region only)

*Nominees for the Nominating or Resolutions Committee must have had previous state level involvement (i.e., served on a committee and/or Board)
These nominations were made (fill in one of the following):
THIS FORM MUST BE SIGNED BY THE STATE PRESIDENT AND SECRETARY.  Names typed into this form (of the State President or State Secretary) constitute an electronic signature.  The state association attests that the information on this form accurately reflects the nominations made by the state in accordance with the AANA bylaws and affirms that the State President and/or state Board member has affirmed the contents of this information.

If you have any questions, please contact:

AANA Nominating Committee
c/o Luis Rivera
American Association of Nurse Anesthetists
222 South Prospect Avenue
Park Ridge, IL 60068-4037
Phone: 847-655-1152
Email: lrivera@aana.com
Fax: 847-655-8822

You must submit this nomination form by December 1, 2019 by clicking the "Submit Form" button below.

As soon as this nomination form is received by the Executive Office, the candidate will receive an email with instructions on the forms that need to be completed.  The State President will also receive notification.