LCENA
2009 BOARD OF DIRECTORS NOMINATION APPLICATION
NAME___________________ _____________ ENA #_____________________
ADDRESS_________________________________________________________
PHONE (____)___________________________WORK(_____)________________
FAX( )__________________ YEARS: ENA MEMBER___________ __
CERTIFICATIONS: (please check all that apply)
CEN___ ___TNCC(P)__ __(I)_ ____ENPC(P)_ ___ENPC(I)____ ____________
OTHER:_____________________________________________________________
Participation in any of the following activities related to emergency nursing in
The past year:
LECTURER/TEACHING: ___________________________________________
PROJECTS: (public/community education events, fund raising, etc…)__ _______
_______________________________________________________________________
ABLE TO ATTEND 4 QUARTERLY MEETINGS YEARLY? YES NO
BRIEF STATEMENT: (Why do I want to be on the LA ENA Board of Directors?) (Attach additional pages as needed.)
Mail or Email completed application by September 15, 2008 to:
Dawn McKeown, RN
PO Box 5067
Bossier City, LA 71171-5067
Traumarn2@bellsouth.net
___________________________________________________________________
The next ENA Board Meeting will be held @ Rapides Regional Medical Center, Friday, October 17, 2008 @ 12 noon. The meeting will be held in the Cascade Room with lunch followed by the Board Meeting. Anyone is welcome, so come to the meeting if you are interested in joining ENA or finding out more about what our organization is doing. For directions or questions contact one of the Board Members.
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