Staffing Captain Sign-up Form

NYSNA Staffing Captains send in regular reports about the staffing levels on our units. Our reports are collected and analyzed by NYSNA to let hospital administrators, community allies, and lawmakers know about staffing issues where we work.

After you fill out this form, you will get a daily text message, reminding you to send in your report for the day.

If you have any questions or problems about this process, please contact the NYSNA Data Team at data@nysna.org

First Name

Last Name

Your Email

Mobile Number

Preferred Reminder Time

11:00 AM
08:00 PM
Text messages are sent daily. Pick the time that works best for you. We may add more times in the future.

Facility

I agree to receive text messages from NYSNA. Standard text and data rates may apply. I can text "STOP" to opt out at any time.

I agree