Life Member – IANANT

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Provides 15 years of membership.
Life members avail all the exclusive offers including tuition discount from Academic Partners.

Qualifications for Life Membership:

- Registered professional nurse of Indian origin or heritage.
- Must have current RN license in any states or territories of USA.
- Must be of good professional standing (not barred or suspended license).
- Member must agree with the mission and comply with the rules and bylaws set by Indian American Nurses Association of North Texas (IANANT).

Membership Form

Price:

$315 for 15 Years

First Name:* First Name Required

Last Name:* Last Name Required

Email:* Email is Required

Mobile Phone:* Mobile Phone is Required

Street Address:* Street Address is Required

City:* City is Required

State:* State is Required

Zip code:* Zip code is Required

Gender:* Gender is Required

Male Female Other Prefer not to answer

Birth Date:* Birth Date is Required

Birth Month:* Birth Month is Required

Highest Degree earned:* Highest Degree earned is Required

Credentials:* Credentials is Required

Speciality Certification: Speciality Certification is not valid

Advanced Practice Provider:* Advanced Practice Provider is Required

Nurse Practitioner Clinical Nurse Specialist Nurse Midwife Nurse Anesthetist Not applicable

How would you like to be involved in IANANT?:* How would you like to be involved in IANANT? is Required

Professional networking Continuing education activities Mentoring Career advancement self-help group Committees/Leadership Community outreach activities Not at this time

Position Description:* Position Description is Required

Nurse Clinician / Staff Nurse Nurse Informaticist Academic Educator Managers / Coordinator Nurse Scientist Staff Educator Patient Educator Clinical Trial Nurse Quality Improvement Director VP / CNO / CEO Consultant Entrepreneur Nurse Navigator Nurse Practitioner Retired Other

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

Description	Amount
Life Member – Payment	$315.00
Total	$315.00

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