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Membership Application

Member Information

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Month and day

Experience & Education

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(Note: A student nurse (SN) is an unlicensed student in a nursing program)
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Please enter using YYYY format, e.g., 2024
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Please select all that apply.

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Volunteer

You have a great opportunity to be involved with the organization.

Please select all the committees you are interested in.

Please list.

Annual Membership Dues

(Memberships are free for nursing students pursuing their initial RN degree.)