: AACN

GNSA Membership Application

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Basic Information

Password

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Email Address

Prefix

First Name

Middle Name

Last Name

Title

Institution

Current Degree Program

Degree

Institution

Major

Program Start Date

Anticipated Graduation Date

Contact Information

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Address 1

Address 2

Address 3

City

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Demographic Information

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Birth Date

Ethnicity

Degree(s)

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Additional Credentials

Highest Degree Earned

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GNSA Liaison

If you are interested in finding out more about the GNSA Liaison position, a leadership development opportunity, click on the following link: www.aacnnursing.org/GNSA/Leadership/Liaisons