Minnesota Nurses Association Membership Application

Personal and Job Information

Personal Information

First Name*

Middle Name

Last Name*

Address*

City*

State*

ZIP*

Personal Email*

Cell Phone

(Necessary for access to Member Center)

By providing my phone number, I agree that MNA may use automated calling technologies and/or text message me on my cellular phone on a periodic basis. MNA will never charge for text message alerts. Carrier message and data rates may apply to such alerts. Call or email MNA at 651-414-2800 or mnnurses@mnnurses.org to stop receiving messages, or simply respond STOP to any text message you receive to stop receiving future messages.

You can read our Member Data Privacy Policy here.

Job Information

Employer / Facility*

Specify Other Employer / Facility*

Job Type*

Employee Number

Unit / Department

Date of Hire*

Shift / Rotation

FTE / Hours

Field of Employment