North Carolina Internation Association of Forensic Nurses

Membership Form

Please complete this form and click the submit bottom to electronically submit your membership application. Your membership status will not be considered active until payment for your dues has been recieved at the below address. Please make checks payable to NC IAFN.

Applicant Name:
Home Street Address:
City:	, NC
Zip Code:
Home Phone Number:
Email Address:
Business Address:
City:	, NC
Zip Code:
Business Phone Number
RN License Number:
Certification Number (for SANE Members)
Please click the category that applies to your membership.	Regular Member Student Member Associate member

If you are not a registered Nurse, please click on your job description.
Law Enforcement Forensic Scientist EMT/Paramedic	Physician Other:

Please click on the Forensic Area(s) in which you function:
Sexual Assault Examiner Corner/Death Investigator Forensic Psychiatrics	Forensic Corrections Other:

How many years have you worked in forensic practice?