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PRESIDENT’S MESSAGE
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Contact us
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Price:
$75 for 1 Year
First Name:*
First Name Required
Last Name:*
Last Name Required
Email:*
Email is Required
Mobile Phone:*
Mobile Phone is Required
Credentials:*
Credentials is Required
Gender:*
Gender is Required
Male
Female
Other
Prefer not to answer
Street Address:*
Street Address is Required
City:*
City is Required
State:*
State is Required
Zip code:*
Zip code is Required
Work Status:*
Work Status is Required
Employed
Retired
Student
Other
Position Description:*
Position Description is Required
Nurse Clinician / Staff Nurse
Nurse Informaticist
Academic Educator
Manager / Coornator
Nurse Scientist
Staff Educator
Patient Educator
Clinical Trial Nurse
Quality Improvement
Director
VP / CNO / CEO
Consultant
Entrepreneur
Nurse Navigator
Nurse Practitioner
Retired
Student
Other
Speciality Certification:*
Speciality Certification is Required
Advance Practice Provider:*
Advance Practice Provider is Required
Nurse Practitioner
Clinical Nurse Specialist
Nurse Midwife
Nurse Anesthetist
Not applicable
Highest Degree earned:*
Highest Degree earned is Required
How would you like to be involved in CINA?:*
How would you like to be involved in CINA? is Required
Professional networking
Continuing education activities
Mentoring
Career advancement self-help group
Committees/Leadership
Community outreach activities
Not at this time
I do here by declare that I will abide by the rules and regulations set by the California Indian Nurses Association (CINA).*
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Password must be "Medium" or stronger
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