File an ADO
Member Sign In
Join ONA
ONA

Committee and Council Interest Form

Ohio Nurses Association Volunteer Form for Councils and Committees

Please complete this form as fully as possible. It helps if you are brief and do not use abbreviations. The information is used by the Board of Directors in making appointments. If you have further questions, please contact Dodie Dowden at ddowden@ohnurses.org.

Your Name(Required)
Your Address(Required)
Your Personal Email Address(Required)
Please indicate, which committees, etc. that you are interested in applying (Note: You must be an ONA member to serve on an ONA committee)(Required)
If applying for the Health Policy Council, we ask political party affiliation to help achieve balance on the committee.(Required)
Would you be interested in serving on the Ohio Nurses Foundations' Scholarship Review Committee?(Required)
Are you willing to review and collaborate on projects electronically?(Required)