Join

About the ACC:

Board of Directors:

Join Us:

Newsletters:

Press Releases:

For Students:

Advanced Practice Clinician Issues:

ACC Store:

Speaker/Consultant Bureau:

Join Us!

MEMBERSHIP APPLICATION:

Bill your employer!
This professional membership is a valid
use of your continuing education/membership fund
Printer Friendly Copy

First Name:
Last Name:
Address1:
Address2:
City:
State:
Zip Code:
Phone Number:
Email:
State(s) Licensed:
License #:
Licensed as a:	NP PA Both
Program graduated from:
Primary specialty:
Secondary specialty:
Employer's Name
Employer's Address
Choose Membership & Annual Dues	$60-Fellow:NP or PA licensed or eligible to practice in the United States $30-Affiliate-NP or PA unlicensed or not wanting the ability to vote $20-Student: (Please include a letter from you program) $250-Group Membership: Any professional group in agreement with the goals of the ACC

When you click the submit button you will automatically email your application to ACC
and a new page will open allowing you to choose your method of payment