Become a Member - FNAQ: Filipino Nurses' Association of Quebec, Inc.

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Thank you! We hope to see you in our organization. Thank you for your interest in becoming an FNAQ member. Please fill up the form and don't forget to click submit. We look forward to welcoming you in the FNAQ family. See you soon!

If you have any questions regarding membership, please do not hesitate to ask one of our membership director HERE.

MEMBERSHIP FORM

* Indicates required field

Type of Membership *

New Renewal

Were you a nurse in the Philippines or any other places except Quebec? *

Yes No

Registering for which membership year? *

If yes, please indicate your license number: *

Title *

Mr. Mrs. (married) Ms. (widowed, separated, divorced) Miss (never been married) Dr.

Name *

First

Last

If married, please indicate maiden name in brackets after your last name

Birthdate (yyyy-mm-dd) *

Email Address *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact Number *

Alternate Contact No. *

Method of Payment *

Online (E-transfer) Cash

Are you studying or a graduate of nursing program here in Quebec (DEC, IEN Program, BN, BScN)? *

Yes, currently studying Yes, finished studying No, but finished a nursing program elsehwere No, never enrolled in a nursing program

Name of nursing school/institution (either in Quebec or elsewhere) *

Year Graduated *

Are you currently practicing nursing in Quebec? *

Yes, as a nurse/nurse clinician Yes, as a nursing assistant/practical nurse Yes, as a CEPI/GPL No

If yes, please indicate your OIIQ/OIIAQ license number: *

Name of Employer *

Select membership category: *

ACTIVE: Filipino/Non-Filipino nurses who are residing and practicing nuring in Quebec [Fee: 40$] ASSOCIATE: Filipino/Non-Filipino nurses who belong to any of this category: a) not licensed, b) not practicing, c) not residing in Quebec, d) retired, e) GPL/CEPI. f) LPN/RNA [Fee: 25$] STUDENT: Filipino/Non-Filipino nursing students oursuing sudies in an accredited school in Quebec [Fee: 15$]

If ASSOCIATE has been selected, please select the option that applies to your current status *

Referred by *

FNAQ EB None

Name of FNAQ EB Member *

Submit

METHODS OF PAYMENT

ONLINE (E-TRANSFER)
Pay with your online or mobile banking app
Please send to the Director of Membership's email: joyce.cotiangco@gmail.com

CASH
Please see any of the members of the FNAQ Executive Board

Filipino Nurses' Association of Quebec, Inc.
Association des Infirmières et Infirmiers Philippins du Québec

© COPYRIGHT 2015. ALL RIGHTS RESERVED.

Home
About
Membership
News & Events
Become a Quebec RN
- Where to Pursue Your Integration Program
Gallery
Contact Us
FNAQ Library