Committee Consent To Serve Application

The experience, expertise and interest of our membership is central to the mission of ANAC. ANAC members are invited to submit a Consent to Serve application for committee appointment. All members in good standing, regardless of discipline or length of ANAC membership are able to apply. Committee appointments are usually for a two-year term and are based on qualifications, committee need and available openings. Meetings are held at the Annual Conference and by conference call throughout the year. All members are expected to attend the calls and committee meeting at conference. There is no financial compensation for service on an ANAC committee.

Members may serve on only one standing committee at one time, but may serve on as many specialty committees as she/he may competently execute the duties thereof, contingent upon the membership limitations (if any) established by the specialty committee chair. 

You may submit a CV in addition to this form.

First Name *
Last Name *
Credentials
ANAC ID#
Street Address *
City *
State
Zip Code
Country
Email *
Telephone
Fax Number

Please indicate the committee(s) on which you are interested in serving. Indicate no more than two. Click here for descriptions of each committee.

Standing Committees:

Specialty and Other Committees:

Current Professional Position: *
Educational Background:
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Why is this committee of interest to you?
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Please tell us about your personal and professional experience relevant to service on these committees. *
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Previous ANAC Experience:
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Are you currently an ANAC member? *

Clear Selection

Thank you for your interest in helping to shape the future of ANAC.  Please click the submit button below to complete this form.  Please contact ANAC at 330-670-0101 with any questions.






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