Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
eChapter Willingness To Serve Form
2026 - 2027 Member Willingness to Serve Information Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full Name:
*
Your answer
Phone Number (including Area Code)
*
Your answer
Member of AORN:
*
Yes
No
AORN Member Number:
*
Your answer
Member of eChapter:
*
Yes
No
Have you ever held a leadership position for the eChapter?
*
Yes
No
If Yes - What position(s) have you held?
Your answer
What Position are You Interested in Holding/Applying For:
*
President-Elect (must have previously held a position on the eChapter BOD to apply)
Secretary
Board of Directors
Nominating Committee
Required
Is there anything you'd like to pass on to the Nominating Committee?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
