Ohio Chapter of the National Association for Pediatric Nurse Practitioners

Experts in Pediatrics, Advocates for Children.

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Ohio NAPNAP Volunteer Form

Become involved in the Ohio Chapter of the National Association of Pediatric Nurse Practitioners (NAPNAP). Please fill out the form below indicating your areas of interest for volunteering. Thank you in advance for your willingness to volunteer!

Name(Required)

First Last

Credentials(Required)

Please include your credentials. Example: DNP, APRN, CPNP-AC/PC

Email(Required)

Phone(Required)

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are You a Member of Ohio NAPNAP?(Required)

Yes

Please Select Areas of Interest Below:

Executive Board Member | Elected Positions

Board Member | Appointed Positions

Communications Chair

CE Chair

Legislative Chair

Membership Chair

Scholarship and Awards Chair

Diversity, Equity, and Inclusion (DEI) Committee Chair

Committee Member | Appointed Positions

Communications Committee

Conference Planning Committee

Diversity, Equity, and Inclusion (DEI) Committee

Legislative Committee

Membership Committee

Scholarship and Awards Committee

Student | Appointed Board Member Positions

Ohio Student Ambassador

National Student Ambassador

Other Areas of Interest or Additional Comments

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