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Use the form below to apply for Nurses Society of New Zealand and Te Uniana o NSNZ membership.

Full membership is available to registered nurses including nurse practitioners and enrolled nurses.

Associate membership is available to nursing students, as well as health care assistants and other health personnel at our discretion.

The application form below can be used for both membership categories. Some fields do not apply to associate members, such as registration number, in which case please improvise or write not applicable. Students applying for associate membership should indicate their anticipated graduation year and the name of their university or institute.

Please click here for information on our subscription rates. There is no need to pay or set up the subscription payment until your membership is confirmed.

First name(s)

Surname

Title

Preferred name

Gender

Date of birth

Country of birth

Home address

Post code

Mobile Phone

Personal email

Work phone

Work email

Employer

Employment type

Part time Full time

Position

Specialty/clinical area

Qualifications

Initial graduation

Year of first registration

Country of first registration

NCNZ registration number

Preferred fee payment option

Annual Monthly AP

The Privacy Act 1993 requires you to be made aware that information collected on this form is required for administrative purposes and to provide services to you. You have the right to access and correct this information by contacting NSNZ. All information will be managed in compliance with the Act. Please indicate you agree to this:

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