Membership

Membership Forms

Aplication form:  uploads/ICHN Application Form Membership 1 April 10.doc

ICHN Standing Order Form : uploads/Desktop - Standing Order Form ICHN Folder1.doc

Student application form : uploads/Application form - Student.doc

ICHN Claim form : uploads/Expenses Claim Form June 11.doc

Membership renewal form;  uploads/ICHN Renewal Form Membership June 2011.doc

Notes on Membership and Fees

1. Insert the title by which you are normally addressed (eg Mr,  Ms, Mrs, Miss).

2. The address you give will be used for mailing. If this changes please notify the Institute. If working in Dublin please state which HSE & Community Care Area.

3. State whether you are applying for “Member” or “Student” class

4. Membership classes and application fees are as follows:

Application for full membership - €50
(open to PHNs and RGNs working in the community)

Application for student membership - Free

The fee will cover the annual subscription for the first year. Thereafter the Annual subscription - €50.00. - may be paid by Standing Order / Cheque / Bank Draft / Postal Order - payable to The Institute of Community Health Nursing.  The preferred method of payment is Standing Order.

NB The Declaration on the “Obligation to Institute and its By-Laws” must be signed and dated; otherwise the application will be returned to applicant for signing.

Application for  ICHN funding (For members )

uploads/ICHN Application for Funding(4).doc