Nurse Specialized in Wound, Ostomy & Continence Canada (NSWOCC) - Membership & Associate Registration - Nurses Specialized in Wound, Ostomy, & Continence Canada (NSWOCC)

Registration Information

Registration Type: *

Are you unsure which registration type to choose? Click the blue question mark for more information.

Nurse Specialized in Wound, Ostomy & Continence Member ($100.00/Year): Available to NSWOCs licensed to practice within Canada. Members have voting privileges.

Retired NSWOC Member ($100.00/Year): Canadian registered NSWOCs who are no longer practicing and /or who no longer hold a valid license as a registered nurse within a Canadian province or territory. Members have full voting privileges.

Skin Wellness Associate Nurse (SWAN) Associate ($90.00/Year): Available to graduates of the SWAN™ program. This is an Associate registration type. Associates are not voting members.

Skin Wellness Associate Nurse (SWAN) Student Associate ($90.00/Year): Available to those intending to attend the SWAN™ program. Registrants must be a practical nurse or diploma RN. This is an Associate registration type. Associates are not voting members.

WOC-EP Student Associate ($100.00/Year): Available to baccalaureate registered nurses or nurse practitioners who are registering for the NSWOC (WOC-EP) Program through the Wound, Ostomy and Continence Institute. This is an Associate registration type. Associates are not voting members.

Practice Enrichment Series Associate ($0.00): Available ONLY to healthcare professionals intending to attend the Wound, Ostomy and Continence Institute Practice Enrichment Series programs. Valid for one year only. This is an Associate registration type. Associates are not voting members.

Full-time Student Nurse Associate ($50.00/Year): Available to registered full-time students of an approved certificate, bachelors or diploma RN, LPN/RPN program (proof required). This is an Associate registration type. Associates are not voting members.

Government/Administrative Professionals Associate ($90.00/Year): Available to professionals such as Facility Directors, Managers and/or Government Administrators. This is an Associate registration type. Associates are not voting members.

Allied Healthcare Professional Associate ($90.00/Year): Available to non-ISPSC and non-SWAN™ healthcare professionals (such as physicians, RPNs/LPNs, MDR certified technicians) who are interested in and supportive of the objectives of ISPSCC and would not qualify as an Industry Associate or Industry Associate Plus associate type. This is an Associate registration type. Associates are not voting members.

Industry Associate ($175.00/Year): An individual who is employed by or represents a company whose primary business is related to the field of wound, ostomy, and/or continence care, and who is interested in and supportive of the objectives of the Corporation. Industry representatives have the option of registering as an organization representing more than one individual. This is an Associate registration type. Associates are not voting members.

Industry Associate Plus ($500.00/Year): An individual who is employed by or represents a company whose primary business is related to the field of wound, ostomy, and/or continence care, and who is interested in and supportive of the objectives of the Corporation. Industry representatives have the option of registering as an organization representing more than one individual. This membership type includes discounts on webinars, conferences and other benefits. This is an Associate registration type. Associates are not voting members.

International Associate ($90.00/Year): NSWOCs and allied healthcare professionals (such as physicians, RPNs/LPNs, MDR certified technicians and non-enterostomal nurses who are stakeholders in enterostomal therapy patient care) who are not Canadian residents but are licensed in their country of residence. This is an Associate registration type. Associates are not voting members.

Personal Information

First Name: *

Middle Name:

Last Name: *

Maiden Name:

Gender: *

Country: *

Address: *

City: *

Province: *

Postal Code: *

Primary Phone: *

Format: ###-###-####

Secondary Phone:

E-mail: *

Re-type your E-mail below: *

**IMPORTANT: The above e-mail address is used as your primary contact method, so make sure you have typed it correctly before submitting. If you do not have a home e-mail, enter your work e-mail here.

Date of Birth: *

Employment Information

Employer/ Hospital: *

Country: *

Work Address: *

City: *

Province: *

Postal Code: *

Work Phone:

ext
Format: ###-###-#### ext ####

Fax:

Work E-mail:

Employment Status: *

Current Position: *

If Other, please specify:

Workplace *
(Check all that apply)

Other:

Responsible Areas *
(Check all that apply)

Other:

Professional Information

RN or RPN/LPN Registration Number:

The addition of the JWOCN journal fees ($46) are automatically added unless the following is indicated:

WOCN Registration Number:

JWOCN Registration Number:

Education Information

NSWOC Course Name: Year:

WOCC(C)? *

No

Yes, Year Certified/ Recertified:

Nursing
(Check all that apply)

Non-Nursing
(Check all that apply)

Diploma

Baccalaureate

Masters

PhD

Preceptorship/ Mentorship

Area(s) of Interest
(Check all that apply)

Ostomy

Wound

Continence

Have Expertise in
(Check all that apply)

Ostomy

Wound

Continence

Preferences and Privacy Options

Preferred mailing address: *

Work Address

Home Address

Preferred contact phone and e-mail: *

Work Address

Home Address

I wish to receive the NSWOC Advance by: *

I wish to receive the JWOCN by (if applicable): *

I consent to having my contact information listed in the NSWOCC Membership Database, which is password protected for NSWOCC members.

Demographic Information

I plan to retire in:

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