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ESPU-Nurses Board Member Nomination

Please fill this form to submit your application as a ESPU Nurses member.
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Title
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First name
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Last name
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Institution or company name
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Address
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Zip Code
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City
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Country
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Email
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Daytime phone number
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Job title
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Professional Qualifications
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Brief description of role/special interest
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I would like to be a board member of the ESPU-N because...