ISNG - International Skin Care Nursing Group - Online Membership Registration


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Online Membership Registration

Section 1
Please ensure you complete all required fields:

Title:
First name:
Surname:
Email:

Phone:
Fax:
Address:

Work title:
Place of work:

What are your areas of expertise?

Special areas of interest/expertise (e.g. clinical, educational, research)?

Section 2
Please complete the following section which will give us an idea of how involved with ISNG you would like to be.

Yes	No	Would you consider being a link person for the ISNG? This would involve us sending you information for you to pass on to other nurses in your local area.
Yes	No	Do you currently belong to any professional wound care/skin care/dermatology organisations? If YES, please specify which:
Yes	No	Would you be willing to be consulted by the ISNG about your area of expertise?

Section 3
The ISNG would like to encourage national groups to form in countries where these do not exist. Please answer the following questions in relation to such a national group:

Yes	No	Would you be interested in joining a national group?
Yes	No	Would you be interested in helping to establish a national group?
Yes	No	There may be occasions when we would like to pass on your details to other members of the group. Please indicate whether you are happy for us to do this.

What do you feel you could contribute to a national group?

If you have any other comments or thoughts please add them here: