Minnesota Nurses Association Membership Application

Membership Type

Is your position covered by an MNA contract?

Bargaining Unit Membership Acceptance

I hereby request and accept membership in the Minnesota Nurses Association (MNA). If MNA is, or seeks to become, the collective bargaining representative at my employer, I hereby authorize MNA, its agents, or representatives to bargain collectively on my behalf with my employer in all matters pertaining to wages, hours, and other terms and conditions of employment.

Please sign below

Clear

If you are using a touch screen device, sign your name inside the box using a stylus or your finger. If you are not using a touch screen device, sign your name inside the box using your mouse. To sign with your mouse you will need to click and drag the mouse inside the signature box using your cursor as a pen to sign.

Dues Category

Annual Rate

Monthly Rate

Other Bargaining Unit

*Bargaining unit members who work less than 832 hours per year may be eligible for reduced dues at 50% of the regular dues.

By applying for membership, you agree that membership dues are assessed on a calendar-year basis and cover membership for the entire year. Dues amounts will be prorated during the initial year of membership based on the date membership is applied for. You may pay your annual dues in monthly installments. However, if you elect to pay your annual dues in monthly installments, you remain responsible for paying the full amount of the annual membership dues even if you resign your membership before the end of the year or revoke your authorization for payments.