THE VILLAGES
                                         NURSES CLUB

THE VILLAGES NURSES CLUB

MEMBERSHIP FORM


We would like to showcase our own talent and recognize our own expertise within The Villages Nurses Club. 


Please share with us what has made your nursing journey memorable and please let us know of other skills/interest you have that could be shared.


Please Print


Name:  __________________________________________________________


Address:

   _______________________________________________________________


City,Zip___________________________________________________________


Village___________________________________


Full time:___________        Seasonal_____________________


Phone Number:                                                                                     


Cell:_______________________________


e-mail address:_____________________________________________________


1)  Would you be interested in serving as a committee Chairperson or a member of a Club Committee?    Y      N


     Committees are: Membership; Nominating; Program; Refreshment; Sunshine; 50/50, Christmas Party, May Celebration

 

2)  Area of specialty?  Do you or did you leave a foot print in nursing? Did you author a text; a Professor; serve in the military or other world organizations; or you an attorney?

 

 

3)  Do you have a musical talent? Sing or play an instrument?

 

4)  Are you willing to give a short talk (to the club) about your accomplishments?

 


If you have questions or comments please, contact:


President: Janis Ward   janisward2@gmail.com  phone or text   352-445-5307

Vice President: Faye Davis   fayecamp42@comcast.net  phone or text   334-718-1820


www.TheVillagesNursesClub.com


If you need more room please, write on back.. Thanks for your input