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Willingness to Serve Form

Gwendolynn D. Randall, PhD, CRNA
Chair, Member Services Committee
gwennyjcrna@hotmail.com

If you are interesting in volunteering for a leadership or committee postion within FANA, please let us know.

I am a CRNA
SRNA
Name
Address
City/State/Zip  
Daytime Phone
Evening Phone
Email

Please check the activities and/or committee(s) you are interested in:

FANA Executive Committee (elected positions)
FANA Communications Committee
FANA Membership Services Committee
FANA Government/Community Relations Committee
FANA Nominating Committee
Federal Government Affairs