Committee Application

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2025 SD ENA Committee Chairpersons

Applications are due: December 15th by 1200

2025 Committee Chairperson Application:

* Indicates required field

Name *

First

Last

Phone Number *

Email *

I agree to keep my ENA membership current throughout my 1-year chairperson appointment. *

Select which committee(s) you would like to apply for (select all that apply) *

Government Affairs Injury Prevention Education Media Communications Membership Pediatrics (ENPC) Trauma (TNCC) Student Nurse Liaison

If you selected more than one of the above committees, please rate your preference below. Example: 1: Membership, 2: Government Affairs *

Are you submitting a co-chair application? If so, please indicate your co-chair. (both chairpersons must submit an online application) *

If applying for Pediatrics (ENPC) please complete this section:

ENPC Instructor number *

ENPC Faculty? *

Yes No

Number of ENPC classes taught in 2 years: *

If applying for Trauma (TNCC) please complete this section:

TNCC Instructor number *

TNCC Faculty? *

Yes No

Number of TNCC classes taught in 2 years? *

Please identify two goals for the committee(s) you selected above. If more than one committee was selected please clearly identify which goals correlate with the appropriate committee. *

Please discuss your personal strengths and how you would work to improve our organization with your role. *

Submit Application

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