CRONA Voting Proxy

Use this form to submit your voting proxy online if you will not be able to vote in person.


How to vote:

  1. Use the online fillable form on this page to submit a voting proxy. Submitting the form online will send the form to CRONA automatically. Deadline to submit voting proxy form online is 6:00 p.m. on Sunday, May 1, 2022.
  2. Download and complete the PDF version of the voting proxy form. Follow the directions on the form to submit the form to CRONA via email, fax, or by hand. Deadline to submit voting proxy form online is 6:00 p.m. on Sunday May 1, 2022.
  3. Vote in person on voting day. Polls will be open from 7:00 a.m. to 7:00 p.m. on Sunday, May 1, 2022. Voting location is the 4300 Bohannon, Suit 250, Menlo Park 94025 (it’s an office complex; Bohannon is off Marsh Road and very close to 101)
  4. Eligibility to vote: must be a CRONA member in good standing. Refer to [CRONA Bylaws] for more information or contact CRONA for more information.
Legal Name(Required)
Please enter your name as it is listed at the hospital. This is how your name is listed in the CRONA database.
Please provide your personal email address. Do not provide your hospital work email address.
Please provide your personal phone number, not your work number.
This allows CRONA to accurately identify the person submitting the proxy form by matching the information submitted to the information in our database.
Hospital (check one):(Required)
I understand that by submitting this voting proxy form, I give permission for CRONA's Ballot & Elections Committee to select a CRONA member to vote my proxy on my behalf from April 29 to May 1, 2022 in connection with any Tentative Agreement ratification vote that may occur during that time period. If I decide to vote in person after submitting my proxy I will be allowed to do so only if my proxy has not already been voted.(Required)
This field is for validation purposes and should be left unchanged.