Online Application Form

Please fill  all fields below (enter N/A if not applicable)  & click  SEND APPLICATION . 
A message confirming your application has been sent successfully will show, if not , scroll down to see errors & send again.  Please allow 2 business days for the office to process your application.  Any questions please call  (06) 358 6000.
College Membership Fees and payment details click here 
Membership & Indemnity Insurance starts when we receive payment for  fees. New members receive a Membership pack  confirming  membership has started.
Click here to print and post application pdf Application form 2011.pdf (0.10MB) 

Membership Application Details


Do you wish to be placed on the Maori Roll?:


Fees are to be billed to my employer?:


I am applying as a member in the category of:


Area/s of professional experience/expertise

For the College to maintain its high level of influence we require information on the experience and expertise of our members. With this information the College, with your assistance, can better provide informed comment on a range of health and nursing issues as well as creating better services for you as a member.

Clinical experience/expertise (Please specify)



And (please tick):

Qualifications - Professional and Academic

Other Comments