2027 Nomination Form

Please complete the application form below. After September 14th, a member of the Nominating Committee will reach out to you to schedule an interview. If selected, you will be asked to provide a brief candidate video to be included with your candidate information during the election. Following the completion of interviews, a provisional ballot will be sent to the Board of Directors for approval. Those elected will be notified in early December and their service will begin in March 2027.

If you have any questions regarding the application or process, please contact nominations@nacns.org.

Conflict of Interest Policy

2023-2028 Mission and Goals

Name*
First Last
I have read the role description provided and I am able to commit to the duties and responsibilities.*
- YES
- NO
Do you have any conflicts of interest? (Note: A conflict of interest does necessarily prohibit someone from serving, but all conflicts must be disclosed. For reference, see the NACNS Conflict of Interest Policy linked below)*
- YES
- NO
What position are you applying for?*
Why do you wish to run for office with NACNS?*
What are the major issues facing the CNS profession in today's health care environment?*
Please describe your thoughts and/or experiences on one of the following topics (No more than 250 words). 1. What issues do you believe have a significant impact on the recruitment of new CNSs to the profession? 2. What leadership skills do you believe are needed for the CNS to be successful in the current health care system? 3. In reviewing the 2023-2028 NACNS Mission and Goals, please comment on your recommendations on any new or revised goals for NACNS.*
If elected, how would you work within NACNS to assist in addressing this issue in your elected position?*
Please share with the membership a brief description of the professional experiences (both within and outside of NACNS) and personal attributes that you believe make you an ideal candidate for this position:*
List your engagement efforts with NACNS experience over the past five years:*
List other related national-level or NACNS affiliate level activities in the past five years:*
Submit Cover Letter HERE*
Drop files here or
Max. file size: 256 MB.
Submit Curriculum Vitea HERE*
Drop files here or
Max. file size: 256 MB.
Submit Headshot Photo HERE*
Drop files here or
Max. file size: 256 MB.
Headshot photo to be used in the ballot process