Student/Retired Membership Form - AALNA - American Assisted Living Nurses Association

Student/Retired Member Rate – $75 per year + $5.00 Credit Card Processing Fee
This level of membership is appropriate for aspiring assisted living nurses or assisted living nurses who have retired from the profession. A student nurse is an individual who is in the process of completing an RN/LPN/LVN program and has a current license. A retired nurse is an individual who does not hold an active nursing license or is over the age of 67.

Terms:

$83 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Date of Birth:* Date of Birth is Required

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Highest Degree Completed: Highest Degree Completed is not valid

Nursing Credentials:* Nursing Credentials is Required

Nursing License Number:* Nursing License Number is Required

Phone Number:* Phone Number is Required

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