2024 ANPA Volunteer Form Question Title * 1. Contact Information Name Address City/State/Zip Email Address Primary Phone Number District # Degree NP Certification Workplace Workplace Address OK Question Title * 2. Area of volunteer interest 1 2 3 4 5 6 7 District Work (with your District Representative) 1 2 3 4 5 6 7 Legislative Committee 1 2 3 4 5 6 7 Volunteer Committee 1 2 3 4 5 6 7 Conference Committee 1 2 3 4 5 6 7 Education Committee 1 2 3 4 5 6 7 Membership 1 2 3 4 5 6 7 Newsletter OK Question Title * 3. List your organizational, professional, leadership, or other experiences. OK Question Title * 4. What is your leadership style OK Question Title * 5. How long have you been a member of ANPA? <1 year 1 year 2-5 years Since it was founded OK Question Title * 6. How much time are you willing to volunteer? <1 hour/week > 2 hours/week <1 hour/month >2 hours/month Other (please specify) OK Question Title * 7. What talents or skills do you wish to offer to ANPA? OK Question Title * 8. Read the attached bylaws. Do you agree to the mission and purposes of ANPA? By selecting Yes, you are indicating that you wish to be an ANPA volunteer. You agree to uphold the bylaws and support the mission of ANPA. Yes No OK Question Title * 9. Upload your current CV Only PDF, DOC, DOCX, PNG, JPG, JPEG, GIF files are supported. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Only PDF, DOC, DOCX, PNG, JPG, JPEG, GIF files are supported. OK Question Title * 10. Thank you for your interest in volunteering with ANPA. We will review your information and CV. The Volunteer chair or committee chair of interest will contact you soon. OK DONE