American CRNA Magazine - CRNAs Making a Difference Profile

Tuesday, October 07, 2008

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Name of nominated CRNA:

Nominated CRNA Hometown:

CRNA Current Occupation/Role:

Nominated CRNA Email Address:

This CRNA makes a difference by:

Serving the community
Serving in the military
Serving on medical missions

Describe how this CRNA makes a difference in the lives of others:

Your Name:

Your Email Address:

Can we use your name and/or a quote from your nomination submission in the final published article?

YesNo

* I grant American CRNA Magazine, LLC, rights to publish stories and photos provided by me in any product published by American CRNA Magazine or its affiliate companies, in print, online or otherwise, and to archive for possible future republication or resale to individuals.