JANANY Author Submission

The Journal of the American Nurses Association - New York (JANANY)

Author Submission Form
Title of Submission
Submission Date

MonthDayYear
Date
Primary Author's Name

First NameLast Name
Primary Author’s Job Title & Affiliation

Job Title Affiliation
Job Affiliation Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Author’s Email Address
Primary Author’s Phone Number

Area CodePhone Number
Is the Primary Author an ANA-NY Member
*It will be assumed that the primary author will be the corresponding author, unless indicated.*
Please list other authors, along with credentials and affiliations.
Additional Author's Name

First NameLast Name
Highest Degree, License, Certifications, and Honorary Recognitions
Additional Author’s Job Title & Affiliation

Job Title Affiliation
Highest Degree, License, Certifications, and Honorary Recognitions
Additional Author's Name

First NameLast Name
Highest Degree, License, Certifications, and Honorary Recognitions
Additional Author’s Job Title & Affiliation

Job Title Affiliation
Highest Degree, License, Certifications, and Honorary Recognitions
Additional Author's Name

First NameLast Name
Highest Degree, License, Certifications, and Honorary Recognitions
Additional Author’s Job Title & Affiliation

Job Title Affiliation
Highest Degree, License, Certifications, and Honorary Recognitions
Additional Author's Name

First NameLast Name
Highest Degree, License, Certifications, and Honorary Recognitions
Additional Author’s Job Title & Affiliation

Job Title Affiliation
Highest Degree, License, Certifications, and Honorary Recognitions
Additional Author's Name

First NameLast Name
Highest Degree, License, Certifications, and Honorary Recognitions
Additional Author’s Job Title & Affiliation

Job Title Affiliation
Highest Degree, License, Certifications, and Honorary Recognitions
CONFLICT OF INTEREST
Explanation of conflict of interest
DECLARATION OF MANUSCRIPT NOT SUBMITTED/ NOT BEING CONSIDERED BY OTHER JOURNALS
ACKNOWLEDGMENT OF FUNDING
Please identify funding organization, date funding received, and manuscript requirements.
ACKNOWLEDGMENT OF USE OF HUMAN SUBJECTS ,TRAINING & IRB APPROVAL
Explanation
AFFIRMATION OF MEMBERSHIP IN ANA-NY OR ANOTHER ANA CONSTITUENT
Please identify them by last name/s
AFFIRMATION OF MEMBERSHIP IN ANA-NY OR ANOTHER ANA CONSTITUENT
Please identify them by last name/s and which ANA constituent organization do they belong
AFFIRMATION OF MEMBERSHIP IN ANA-NY OR ANOTHER ANA CONSTITUENT
Please indicate name of author and contact information of author who the Editor can contact
Attach Manuscript

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**Affixing my signature below as primary author (and a representative of our team), I attest to the veracity of the above checked-off statements and take responsibility for its accuracy. Any inaccurate statements can be cause for rejection of our manuscript and other consequences.
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The Journal of the American Nurses Association - New York (JANANY)