TSSCVPR Board of Directors/Committee Chair Nomination Application
Thank you for your interest in joining or nominating someone to join the TSSCVPR Board!  See attached for a brief description of the duties/responsibilities of each board position. All applicants and/or nominees must be a current TSSCVPR Joint Affiliate member to apply. Each position is a 1-year commitment, except for the treasurer which is 2 years. Please complete the following application to nominate yourself or a colleague.
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Are you applying for yourself or nominating someone? *
Name *
Email *
Phone number *
Employer Name *
Employer Address/Phone
Current Position/Credentials (ie RN, CEP, RRT) *
Years of Experience *
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