Join Association of Jamaican Nurses of Greater Houston
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1. Last Name / First Name  *
2. Membership Type *
3. Date of Application *
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4. Credentials *
5. Address: Street Number/Name/Apt/City/State/Zip  *
6. Cell Phone:
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7. Work Affiliation (Place of Employment) *
8. Employment Status
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9. Primary Role *
10. Experience in Nursing

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11. Highest Degree Held *
12. Parish and / or State of Origin
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13. Birthday (Optional) Month/ Day
14. Please Select the Area(s) in Which You Wish to Serve
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15. Recruited By/ How You Heard About Us: *
16. Annual Membership Dues: *
17. Payment Options (Please type “AJN dues” in memo): *
Mailing Address: 
Association of Jamaican Nurses- Greater Houston, PO Box 1803, Alief, TX 77411
Members
Members:
A member shall be any registered nurse or licensed vocational nurse with the common interest and fulfillment of the goals of the Association.

Associate Members:
Associate members shall include student nurses and allied health professionals recommended by active members or expression of personal interest.
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