Register Membership Application and Renewal (Membership is for the financial year; ie. 1st August to 31st July) Types of NZFCNA Membership Individual full membership is for Registered Nurses who are Christians with an interest in Faith Community Nursing. An individual full member must hold New Zealand nurse’s registration with a current practising certificate. They will be eligible for a separate vote at the AGM and have access to the introductory education module. $80.00/year Invalid Input Individual associate membership is for other Christians with an interest in Faith Community Nursing. They will have access to the introductory education module but have no voting rights. An individual associate membership is suitable for clergy, nursing students, those working with the FCN in a volunteer capacity and other interested individuals. $60.00/year Invalid Input Group membership is for organisations who have applied to the Board for a formal affiliation with NZFCNA. One nominated member of the organisation is eligible to vote at the AGM. This form of membership is appropriate for Christian church denominations, sister organisations such as AFCNA or supporting agencies such as The Selwyn Foundation. It is NOT intended for groups of nurses working as a team or within a particular region. $80.00/year Invalid Input Nurses Bible $30.00 Invalid Input Unconditional Donation towards NZFCNA General Fund $ Invalid Input Total to Pay $ Invalid Input Registration Details Name* Please enter the name! Username* Please provide an username! E-mail* Please provide a valid e-mail! Verify E-mail* Retype the e-mail! Password* Please enter a password! Verify Password* Retype the password! Membership Details Address 1* Invalid Input Address 2 Invalid Input City* Invalid Input Postcode* Invalid Input Phone* Invalid Input Cell Phone Invalid Input FCN Employer & Address* Invalid Input Your Church Affiliation* Invalid Input NZ Nursing Council Registration number* Invalid Input NZNO Member * YesNo Invalid Input I give permission to have my name entered on the NZFCNA database for networking purposes * YesNo Invalid Input
