Providence St. Vincent Medical Center Leadership Nominations - Oregon Nurses Association

Providence St. Vincent Leadership Nominations

Nomination Form

Please complete the following form to submit your nomination and consent to serve in a Providence St. Vincent Medical Center bargaining unit leadership position.

Please provide your name below.
President
Vice President
Secretary
Treasurer
Member-at-large #1
Member-at-large #2
Member-at-large #3
Member-at-large #4

Name *
Email Address *
Mobile Phone
Self-Nomination
If this is a self-nomination, please complete the following question.
Unit
Consent to Serve	YES, I am nominating myself and consent to serve NO, I am only nominating others

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