California Nurses Association: A Voice for Nurses - A Vision for Healthcare National Nurses Organizing Commitee



 

California Nurses Association >> RNRN

RNRN Disaster Relief Sign-up Form

Pledge to be there for patient care...

Thank you for signing up with the CNA/NNOC RN Response Network. Registering as a RNRN volunteer does not automatically mean you will be called for every disaster. RNs will be asked to volunteer based on need and availability. Registering before the next major disaster will enable us to respond quickly when and where we're needed next. JOIN US TODAY!

First name *
Last name *
Address *
City *
State/Province *
Zip/Postal Code *
Home Phone *
Cell Phone
Primary Email *
Are you a Registered Nurse?
Hospital or Affiliation
(Name and Location)
Job Title or Classification
RN License Number
List Specialties and/or Certifications
(like NP, BLS, ACLS and PALS)

Are you a CNA/NNOC member?


Indicates Required Fields
*

 



 

   


 Download the RNRN brochure and share it with others!