Members

Step 1 - Personal Profile
Please provide the following information so that we may complete your membership application.
*First Name:**		*Mail Address:**
Middle Initial:		Address 2:
*Last Name:**		*City:**
*Gender:**	FemaleMale	*State:**
Birth Date:	(MM/DD/YYYY)	*Zip Code:**
	(Birthdate is an optional field which will be used for statistical purposes and to help the NSNA provide better service and products.)	Phone: (Numbers only)

*Email Address:**
Permanent Email:
Just an E-Mail Away... Please be sure to provide your e-mail address so that you don't miss the January Imprint Magazine Career Planning Guide (online only), career center updates, important information about contests, awards, benefits, and deadlines. To protect your privacy, NSNA does not release e-mail addresses to third parties, however, NSNA releases respective state member's e-mail address as per NSNA policy. Remember to inform NSNA when your mailing address or email address changes. The NSNA Privacy Policy is now accessible on www.nsna.org - under the membership tab. Hard Copy is available upon request by contacting NSNA.