Elections and Consent to Serve Form 2012

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NURSING STUDENTS OF WASHINGTON STATE
Nominations and Elections Committee
575 Andover Park West Suite 101
Seattle, WA 98188
nsws.officers@gmail.com
Dear Reader,
Nursing as a profession is still growing. As novice nurses, it is critical to learn about
how local, state, and national organizations can help you grow with the profession. If you
are reading this, you have already thought about what you can do to be part of the future of
nursing. Congratulations!
Not sure if you are a member? The Nursing Students of Washington State (NSWS) is
the state branch of the National Student Nurses Association (NSNA). As such, if you are a
member of the NSNA you automatically are a member of NSWS. If you are simply
interested in learning more about these organizations please visit their respective websites:
www.nsws.org or www.nsna.org
Running for a position or committee seat is an important part of your professional
development as a future nurse. It is not as intimidating as it sounds. You are being offered a
learning opportunity. There are many benefits to becoming a member of the NSWS:
● Grow in a leadership position
● Network with fellow nursing students from across the state
● Attend national conventions
● Connect with seasoned RN’s
● Learn about convention planning
● Opportunities to attend conventions sponsored by the Washington State
Nurses Association
● and so much more
To become a candidate, please submit the following paperwork:
● Consent to serve form
● Statement of good standing from the Dean or an official representative
● Resume
● Brief purpose statement: what are your motivations
We are an environmentally conscious organization, if possible save paper by submitting all
your forms via e-mail. Otherwise, submit forms to your NSWS representative or mail to the
address above. If you have any questions, concerns, or comments please contact us at
nsws.officers@gmail.com
Good luck!
Nominations and Elections Committee
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CONSENT TO SERVE FORM
NSWS Elected Offices and Committee Appointments
APPLICANTS MUST BE A MEMBER IN GOOD STANDING WITH NSWS and NSNA.
MEMBER INFORMATION
I consent to be a nominee for position(s) specified on page two of this form. __________ (initial)
Name:______________________________________________________________________________________
Street Address:_________________________________________________________________________________
City:______________________________________________________ State:______ Zip:___________________
Home Telephone:____/_____-______ Work Telephone:____/_____-______ Birth Date (optional):_______________
E-mail Address:_______________________________________________________ Facsimile:____/_____-______
NURSING PREPARATION
Please identify your current nursing education program and expected date of graduation:
Associate Degree
School:_______________________________Graduation: __/___/______________
Baccalaureate
School:_______________________________Graduation: ___/___/_____________
NSWS INVOLVEMENT
I have been an NSNA/NSWS member since _______ NSNA membership number: ___________________
Please check the office/position for which you would like to be considered. If you select more
than one office/position, please prioritize your preference, i.e. 1st choice, 2nd choice. For more
information, email nsws.officers@gmail.com
BOARD POSITIONS & DESCRIPTIONS
_____PRESIDENT: Presides at all meetings of this association; appoints special committees;
represents NSWS in all matters to professional and student nursing organizations; responsible
for seeing that directions given by the NSWS General Assembly and the actions of the Board are
carried into effect; reports to the membership and Board on the affairs of NSWS; produces the
agenda for meetings; represents NSWS at the WSNA Board of Directors meeting.
_____PRESIDENT ELECT: Advances to role of President for the proceeding year; responsible for
learning role of President and assisting and delegating tasks; responsible for maintaining NSWS
website; responsible for revisions and recommendations for bylaws amendments; chairs the
Bylaws Committee; presents the bylaws at the Convention.
_____VICE PRESIDENT: Advisor to the President presiding at meetings in the president’s
absence and assuming responsibility of that office if vacant; responsible for convention and
workshop planning.
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____TREASURER: Serves as Chair of Budget Committee; submits financial reports to
membership as directed by President; prepares monthly financial reports for Board of Directors
meeting; prepares preliminary and final budgets for NSWS; keeps permanent record of all dues
received from members and any other income disbursements; concurs with President regarding
disbursement of funds before signing checks or distributing monetary funds; responsible for
completing and submitting NSWS annual tax paper work.
____RECORDING SECRETARY: Records and distributes minutes of all NSWS meetings as
directed by President; keeps on file permanent record of all reports, papers and documents
submitted to Secretary; assist the President Elect with responsibilities regarding bylaws.
____CORRESPONDING SECRETARY: Informs NSNA of all current programs and activities;
provides minutes, current names and addresses of state and local officers to NSNA; reviews
policies and responsible for recommendations of policy changes.
____DIRECTOR -AT-LARGE (pending bylaws approval): Two positions, each to represent eastern
and western regions of the state. Nominee must attend school in respective region. Director-atlarge will coordinate and serve as a resource to board members and school liaisons in the
respective region; coordinating statewide projects as proposed by the President; assisting other
NSWS positions as needed with projects (Eastern Director-at-large will have travel expenses
covered).
____CHAIR NOMINATING & ELECTIONS COMMITTEE: Responsible for managing annual NSWS
nominations and elections; prepares a slate with qualified candidates; nominations may be
made from the floor at the annual meeting of NSWS provided that eligibility of the individual
nominated has been established and “Consent to Serve” form of such individual is secured in
accordance with NSWS Bylaws.
____ CHAIR COMMUNITY SERVICE COMMITTEE: Identifies opportunities for NSWS and school
association members to participate in one or more community service projects; networks with
school associations to obtain updates regarding project activities and communicates such to
NSWS membership; participates in evaluation of effectiveness of community projects and assists
in development of potential resolutions for NSWS and NSNA.
COMMITTEE APPOINTMENTS
_____NOMINATING: (3 – 5 members; no more than 2 people can be appointed from same
school)
_____IMAGE OF NURSING: Works to promote image of nursing to the public and other
professionals; develops new ways to promote nursing through media and/or other promotional
efforts.
_____BREAKTHROUGH TO NURSING: Promotes career opportunities in nursing for traditional,
non-traditional and minority students; assists school constituents; provides presentations to
schools
_____MENTORING: Creates a mentoring network within Washington State connecting nursing
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professional with student nurses and/or graduate nurses; maintains accurate and current
listings of all NSWS mentor members; communicates with regions/chapters regarding
membership
_____COMMUNITY SERVICE: Assists with implementation of identified projects at local and state
level
CONSENT
I consent to have my name considered for nomination to the aforementioned selected NSWS Office(s)
and/or Committee(s). If elected, or appointed, to the NSWS Board of Directors or Committee, it is my
obligation to attend meetings. If I am unable to fulfill this commitment, I will resign. I understand I am
to submit a letter from my Dean or Director within the next two weeks stating I am a student in good
standing.
Signature ________________________________________ Date __________________
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