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Ohio Association Of Advanced Practice Nurses
Nominations Application Form
2008 Elections

*Required fields
         
*Name
       

Credentials

       
*Address
       
*City
*State
*Zip
*Phone
Phone (work)
Fax
       
*Email
       
*Membership ID
       
*Position Desired
   

Brief bio about yourself:



Current Professional Position:


OAAPN participation in the past:


Other current (last 2 years) professional organization activities and memberships:


Brief statement of goals for position if elected:

I HAVE READ THE POSITION DESCRIPTION AND BYLAWS AND IF ELECTED, I WILL FULFILL THE OBLIGATIONS ASSOCIATED WITH THIS POSITION.

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Ohio Association of Advanced Practice Nurses
5818 Wilmington Pike #300 Dayton, Ohio 45459
Phone
: Toll Free (866)-668-3839 Fax: (866)-529-6822 E-mail: info@oaapn.org
©2008 OAAPN All rights reserved.