APSNA Membership Application

Instructions

Please select the appropriate membership type* below, and fill in your name and email address to access the APSNA Membership application.

* Membership types selected will be reviewed and verified by the APSNA Management Staff. If adjustments are necessary a staff member will contact you.

Select An Option

APSNA Member (2-year Membership)

Option for licensed Registered Nurses and Advanced Practice Nurses Only

Affiliate Member (1-year Membership)

A membership option for Advanced Practice Providers, Allied Health Professionals, and previously licensed nursing professional only; Same benefits, except no voting privileges

APSNA Member (1-year Membership)

Option for licensed Registered Nurses and Advanced Practice Nurses Only

APSNA Retired

Not eligible if you hold an active membership.

Please verify your retired status by uploading the official letter of retired status from your state board.

Student Member

Option for individuals currently enrolled in a primary program to become a Registered Professional Nurse

Please verify your student status by uploading one of the following: 1. Valid student identification card, 2. Unofficial Student transcript displaying currently enrolled classes, 3. Verification of Enrollment for current term, 4. Letter on official letterhead for Bursar

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist

APSNA Membership Application

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