Student Membership Application Form

  • (I give OOHNA permission to call me at this number)
  • (I give OOHNA permission to send all email correspondence to this email)
    Under the Current Canadian Anti-Spam law, emails will only be emailed to this email address.

    (You will be asked to provide Verification of Enrolment)

  • Name of Instructor(s)

  • Enrolment Information

  • *New Student Members

  • Student Membership is granted with the understanding that you are a full-time nursing student. Membership year is December 31 to December of the next year. We will require confirmation of enrolment letter at time of renewal, just let our office know that you would like to renew you student membership for the following year.

By submitting your membership to the Ontario Occupational Health Nurses Association (OOHNA) and providing the above information for consideration, you agree to abide by the code of ethics, and bylaws of the association, submit accurate information and understand that it is a breach of the association’s code of ethics to provide false information. You also understand that you must pay annual dues to maintain membership in OOHNA and that OOHNA may release information to certain Board approved partners/groups from time to time as required. OOHNA is committed to protecting the privacy of your personal information. Information collected from this form will be used for renewal purposes, and to notify you about OOHNA programs and services. Rev. 09/2017