Nursing Committee Meeting Attendance Form
Please complete this form to record your attendance and participation in the nursing committee meeting.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Department/Unit
*
Please Select
Surgical Unit
Pediatrics
Emergency
ICU
Outpatient
Other
Committee Role
*
Chairperson
Secretary
Member
Guest
Meeting Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Meeting Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Attendance Status
*
Present
Absent
Excused
Agenda Topics Discussed
Comments or Additional Notes
Submit Attendance
Should be Empty: