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The Arizona PeriAnesthesia Nurses Association welcomes you to our collaborative and informative site.

Phoenix - Tucson, Arizona

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AzPANA

Arizona PeriAnesthesia Nurses Association

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SCHOLARSHIP APPLICATION

Do Something GREAT!!

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Print and Mail

Name: (Include Credentials)

ASPAN membership Number

Street Address

City

State

Zipcode

Phone

Employer

Number of years as ASPAN / AzPANA Member:

Number of years in Perianesthesia Nursing

Position

You may upload a file here...

Upload File

Upload supported file (Max 15MB)

Areas of Perianesthesia Experience:

Clinical

Education

Pre-op Holding

Management

Pain Management

Preadmission

Research

I would be interested in serving on the following committee(s):

Scholarship

Fundrasing

Education

Publicity / Historian

Bylaws / Policies

Research

Other

I would be interested in receiving information about the zPANA Board of Directors' position(s) indicated below:

President

Vice President / Elect

Treasurer

Secretary

Education Director

Membership Director

For Questions of the Form Contact

Jessica Gentes
gentes42@hotmail.com

Thank You for applying to Volunteer with Us!

We Look Forward to Working with You!

The Arizona Perianesthesia Nurses Association is a non-profit organization which is a state component
of the American Society of PeriAnesthesia Nurses ( ASPAN ).

Email: info@azpana.org

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