Save the Date

Save the Date: NOA Fall Virtual Summit, November 14, 2026

Saturday, November 14, 2026 | Virtual | For NOA member organizations

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NOA Membership Application

Nursing Organizations Alliance

Membership Application

1

Organization

2

Address

3

Criteria

4

Contact

5

Review

Application Received

NOAMEM-XXXX

Thank you for applying for NOA membership. We will review your application and contact you regarding next steps.

If you have questions, contact us at [email protected]

Step 1 of 5

Organization Information

Member Type

Net Assets Tier

Please select your net assets tier.

This determines your organization's dues rate. Tier 1 (Under $1M): $1,250/year. Tier 2 ($1M or more): $2,500/year.

Organization Name

Please enter your organization name.

Organizational Acronym

Please enter your acronym.

Organization Website

Please enter a valid website URL.

Total Number of Members

Please enter your total membership count.

How is your organization staffed?

Self-Managed Our organization employs its own executive director, CEO, and/or staff directly on our payroll. AMC-Managed Our executive director, CEO, and all staff work through an Association Management Company (AMC) that we contract with. Hybrid We have some directly employed staff and also partner with an AMC for operational support (accounting, bookkeeping, etc.).

Please select how your organization is staffed.

Association Management Company Name

Please enter the name of your management company.

Step 2 of 5

Organization Address

Address Line 1

Please enter your street address.

Address Line 2 (optional)

City

Please enter your city.

State

Please select your state.

Zip Code

Please enter your zip code.

Country

Organization Email

Please enter a valid email address.

Organization Phone

Please enter a phone number.

Step 3 of 5

Membership Criteria

Does the organization have non-nurse members?

Yes No

Please select an option.

Description of non-nurse membership

Please describe your non-nurse membership.

Percentage of Members Who Are Registered Nurses

Please enter the percentage of RN members.

Organization Category

Independent national nursing membership organization An organization wherein the majority of members are nurses Nursing structural component of a multi-disciplinary organization

Please select your organization category.

Body of Knowledge and Skills

Describe how your organization demonstrates a body of knowledge and skills in a defined area relevant to nursing or health care, supported by documentation that might include a core curriculum, publications and research, or standards of care and practice.

Please complete this field.

Addressing Current and Emerging Nursing Issues

Describe how your organization addresses current and emerging nursing issues.

Please complete this field.

Mission Compatible with NOA

Describe how your organization's mission is compatible with that of NOA.

Please complete this field.

Step 4 of 5

Documents and Primary Contact

Date Articles of Incorporation Were Filed

Please enter the incorporation date.

Upload Organizational Bylaws

Please upload your organizational bylaws (PDF, DOC, or DOCX).

Accepted formats: PDF, DOC, DOCX. Maximum file size: 10 MB.

Upload Organization Logo

Please upload your organization logo (JPG, PNG, or WEBP).

Accepted formats: JPG, JPEG, PNG, WEBP. Maximum file size: 5 MB.

Primary Contact First Name

Please enter a first name.

Primary Contact Last Name

Please enter a last name.

Primary Contact Phone

Please enter a phone number.

Primary Contact Email

Please enter a valid email address.

Current Leadership

If the person completing this form (the primary contact above) holds one of these roles, click the button to pre-fill their information. Click again to clear.

Board President / Chair

First Name (optional)

Last Name (optional)

Email (optional)

CEO / Executive Director

First Name (optional)

Last Name (optional)

Email (optional)