Global Nursing Caucus Membership
If you are purchasing a membership in advance of the October 26th and 27th "Networking to Raise the Voice of Nursing in Global Health" conference, the discount code for membership rate tickets will be emailed to you.
Name *
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Email *
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Local Mailing Address *
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Permanent Home Country Address (If different from above)
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Phone Number *
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Highest Post Secondary Education *
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Current job title:
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What is the name of the organization you work for?
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Please tell us about your global health experience including special interests, expertise, and work experience
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How can Global Nursing Caucus be of use to you?
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How might you wish to be involved with GNC? (committees, advisory board, program and conference planning, resources for website, etc.)
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Membership Desired *
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