CNSABC Membership  Profile Form
Welcome to the Clinical Nurse Specialist Association of BC (CNSABC). Please complete the Member Profile Form. Share any feedback you may have about our priorities, activities, website, or even your experience with our new registration process here! 
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Email *
First Name *
Last Name *
Address (Line 1) *
Address (Line 2 - if needed)
City *
Province *
Country *
Postal Code or ZIP Code *
Phone number *
Current Employer/Agency: *
Title of Current Position *
Clinical Specialty Focus: *
Credential(s) - identify all the ones that apply
Check here to give CNS permission to add & circulate your name, title, specialty/focus and contact information to other members of the CNSABC *
Social Media handles (i.e., Twitter, Facebook, Instagram) Optional, if you are interested in connecting with us and other CNSABC members on social media.
Would you be interested in (check all that apply):
Questions, comments or ideas?
We've recently changed our registration and renewal process, and would like to get information about our member experience with joining, renewing & updating your member profile. Please share any feedback you have on the experience. 
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