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SNA Membership Application
Please fill this application out for membership into SNA at UCF Orlando along with payment of dues. Reach out to ucfsnaorltreasurer@gmail.com regarding any questions.
* Indicates required question
Name (First, Middle Initial, Last)
*
Your answer
Gender
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Race
*
Asian
Black or African American
Caucasian
Hispanic or Latino
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Mixed Race
Other:
Email address
*
Your answer
Mailing address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip code
*
Your answer
Phone number
*
Your answer
What program are you part of
*
Traditional BSN
Accelerated BSN
Pre-Nursing
Graduation Year
*
Your answer
Graduation Semester
(Traditional Fall admits - Spring graduation, Traditional Spring admits & Accelerated admits - Summer graduation)
*
Your answer
Membership Type
*
One-Year Membership $47.00 ($37.00 NSNA + $10.00 local chapter dues)
Two-Year Membership $90.00 ($70.00 NSNA + $20.00 local chapter dues)
Renewal $50.00 ($40.00 NSNA + $10.00 local chapter dues)
Accelerated Program Option $57.00 ($37.00 NSNA + $20.00 local chapter dues, covers full length of program)
Payment Method (Please send dues payment along with this application submission - you will receive a confirmation email when BOTH are received)
*
Venmo: @ucfsnaorl
CashApp: $ucfsnaorl
Zelle:
ucfsnaorltreasurer@gmail.com
Credit Card:
https://ucfsnaorlando.square.site/
Cash: scheduled pick up or at next SNA meeting - must coordinate with Treasurer
If you selected cash, please provide best contact information to coordinate dues pick-up
Your answer
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