Chicago Association for Nursing Professional Development (CANPD) Membership Application

Chicago Association for Nursing Professional Development (CANPD)

Membership Application

First Name

Last Name

Credentials

Company/Organization

Job Title/Position

Preferred Email

Please note: Some organization firewalls block communications from our website. It is recommended to use a personal email if possible.

Preferred Phone Number

City, State

Membership Options

$35 - Annual Membership (In Person)

$15 - Annual Membership (Virtual Only)

$30 - Annual Membership (November Special)

Payment Options: Cash, Check payable to CANPD, or Zelle ChicagoANPD@gmail.com

Are you an ANPD member?

Yes

Are you NPD-BC certified?

Yes

No, currently pursuing

No, not eligible

No, not interested at this time

If you would like your contact information shared on the CANPD website, please select items to be shared publicly.

First Name

Last Name

Credentials

Company/Organization

Job Title/Position

Preferred Email

Preferred Phone

Other

If you are interested in joining a committee, please select your interest and the chair will contact you.

Nominating Committee

Programming Committee

Membership Committee

Social Media Committee

What would you most like to gain from your CANPD membership?

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