Association Membership Application – Alaska Nurses Association

Welcome to AaNA. Once you’re a member you’ll be able to begin using your benefits immediately.

If you have any question in filling out this form, please contact us.

First Name*

Last Name*

Mailing Address

City*

State*

Zip*

Employer

Unit/Department

Cell Phone

Home Phone

Personal Email*

License Number

License State

Membership Type

[group professional-options]
Professional Membership Type

[/group]

Get Involved
The key to a member-run organization is you. Get involved with one of our committees and bring your voice to AaNA!
Where are you interested in making a difference?

Legislative CommitteeProfessional Practice CommitteeEditorial CommitteeHealth and Safety Task forceI’m not sure yet. Please contact me to discuss.

Additional Message (optional)

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