Delegate Application 

Utah ENA 2017

Delegate Application


            Every year, members of the Emergency Nurses Association (ENA) from each state are able to attend the National Conference as delegates, who help vote on bylaws and changes that affect the national organization. As a delegate, you are a representative of the state and of your fellow Emergency Nurses in the state of Utah. If you would like to apply for a position as a delegate at this year’s conference in St. Louis, Missouri, please fill out the information below and return to the contact information in the gray box by June 28th, 2017 at 1159 PM MST.


            As a delegate for the state of Utah, several key items are important to discuss in relation to this position. Being a delegate, you are required to:


1.      Attend all General Assembly meeting at the National Conference

2.      Be knowledgeable about the bylaws and proceedings of the National ENA

3.      Present information at the end of the year of the General Assembly to the Utah State Council regarding the changes at this year’s conference.


Eligibility to be a delegate is outlined below. If you have any questions of concerns about the requirements, please contact the Utah State Council. Eligibility is dependent upon:


1.      Current ENA member

2.      Current RN with unencumbered license or any restrictions in State of Utah


            Along with being eligible, several other factors are weighted to help the Utah State Council determine who to send. The weighted factors (based on points) are below in different sections. Complete each section to the best of your knowledge. The last section is a short narrative (250 words max) explaining why you would like to serve as a delegate for the State of Utah at the National Conference and how you plan to disseminate this information and help strengthen the Utah ENA membership.  We look forward to reviewing all of the applications and will notify you of your status by the 2nd week in July 2017. The conference will be held the third week of September 2017 and the State will help supplement costs for delegates to attend. Any questions, please feel free to contact a member of the Utah State Council.

Complete the form below and return to:


Lucus Christoffersen

Idaho State University

921 South 8th Avenue, Stop 8101

Pocatello, Idaho



Or via email:



Lucus Christoffersen (State President) –

Shannon Flitton (President-Elect) –

Emmaline Newman (Immediate Past-President)

Name & Credentials:


Email address:

ENA Membership #:

Home Phone:

Current place of employment:



Activity [Points]

Description of Participation


Category 1: ENA Participation in last 12 months

ENA Officer, State &/or Chapter



[20 for office]



Active State Committee Chair



[all meetings = 15, half or more = 10]



Active State Committee Member



[all meetings = 10, half or more = 5]



Never attended National Conference [10]



Attended National &/or State ENA



Conference in last year [5]


National ENA committee member [5]



Chapter meetings attended in last 12



months [10 each up to 40]



ENA new member in last 12 months [5]



ENA recruitment for New members



[5 for each member up to 15]



Category 2: Professional Emergency Development

Current Certification [CEN, CPEN, CFRN



CTRN, TCRN, or CCRN [15 for each]



Current TNCC, ATCN, CATN, ENPC, or



GENE [5 points each]



Current Instructor ENPC, CATN, TNCC, or



ATCN [10 points each]



Category 3: Emergency Teaching and Involvement

Giving formal lectures and topics that



are related to emergency nursing [15]



Published articles related to emergency



nursing [15 each up to 45]



Projects related to emergency nursing



Please specify. [Up to 15]





Please submit a short statement below explaining why you would like to be a delegate for the state of Utah. Please indicate your history with emergency nursing, what made you decide to become a delegate, and how you plan on sharing information you will learn as a delegate with your coworkers, facility, local chapter, or state council. (Please no more than 250 words)