POINT SYSTEM TALLY SHEET for DELEGATE ELIGIBILITY

POINT SYSTEM TALLY SHEET for DELEGATE ELIGIBILITY AORN CONFERENCE & EXPO 2017

NAME: ______Must be an active DAORN member in good standing and participate on 1 or more committees

Chapter Meeting Attendance 2015-2016: 1 pt. per business meeting and 1 pt. per chapter education offering. Must sign in for meetings/educational offerings. Sept. 2015 October November Jan. 2016 February March April May Business Mtg Education

TOTAL POINTS, Meeting/Education Attendance:

Committee Participation: Auditing, Awards, Bylaws, Computer Informatics, Education, Finance, Golf Tournament, Hospital (2015 – 2016) Captain, Legislative, Membership, Nominating, Publicity, Research, Scholarship, Ways & Means, etc. Chair/Co-Chair = 6 pts.; Member = 2 pts.

Committee Name: Position Held: Points: Committee Name: Position Held: Points: Committee Name: Position Held: Points: TOTAL POINTS, Committee Participation:

Other Committee Work: Not previously listed or ad hoc committee/task force. (2015-2016) Chair/Co-Chair = 3 pts; Member = 1 pts. Committee Name: Position Held: Points: Committee Name: Position Held: Points: Committee Name: Position Held: Points: TOTAL POINTS, Other Committee Participation: (continued on back) Point System Tally Sheet for Delegate Eligibility – AORN Conference & Expo, 2017 Page 2

Officer/Board Member: 6 pts. each Position Held: Points:

TOTAL POINTS, Officer/Board Member:

TOTAL POINTS, Officer/Board Member: Special Functions: Fall Workshop = 4 pts; CLN, CFNO, or Data Record Keeper = 3 pts; Teller Chair, Community Projects (i.e. Day (2015-2016) at the Museum, Project Cure, etc.) = 2 pts; Teller member, Historian/Research Liaison = 1 pt. Function Name: Points: Function Name: Points: Function Name: Points: Function Name: Points: Function Name: Points: Function Name: Points:

TOTAL POINTS, Special Functions:

ADD TOTAL POINTS: Meeting/Education Attendance: Committee Participation: Other Committee Participation: Officer/Board Member: Special Functions: GRAND TOTAL: (Must have 12 or more points to be eligible to run as delegate for Conference)