Committee Leadership Commitment Form - Missouri Nurses Association

MONA would like to extend an invitation to all MONA members to submit their name as a candidate for eligible positions on the following committees. If you wish to serve on the Missouri Nurses Association Advocacy, Bylaws, Communications, Education, Finance, Practice, or a Region Committee, please complete the form below.

Please note: All committees meet virtually.

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MISSOURI NURSES ASSOCIATION LEADERSHIP COMMITMENT FORM

All participating leaders must complete this form to serve on a committee within the Missouri Nurses Association (MONA). Candidates must be a current MONA member in good standing to serve (any other specific requirements will be listed in the committee description or requested upon receipt of your commitment form). Submission of this form indicates that you understand the duties and responsibilities of the committee for which you are submitting your name. If selected, you agree to fulfill the duties to the best of your ability.

First Name: *

Last Name: *

Credentials: *

Street: *

City: *

State: *

Zip Code: *

Phone/Mobile: *

Email Address: *

By submitting this form, I am committing to:

Provide leadership in line with MONA’s Vision, Mission, and Purpose;
Be accountable to MONA members – communicate honestly and transparently; and
Fulfill the duties of the position and participate when requested