To nominate a Good Samaritan Regional Medical Center nurse for election or appointment to the ONA committee positions (listed below), enter the name of the nurse you would like to nominate for each position.

If you are self-nominating, the completion of this form signifies your consent to nomination, consent to run in an election, and consent to serve in the position elected or appointed to. If you are nominated by others, you will be asked to complete a consent to serve and choose two positions you are willing to serve in.