NAPICU Ward Membership 2025

WARD Membership Application

To apply for membership please complete all questions.
WARD INFORMATION

Important Notice for Membership Application

It is the responsibility of the applying ward to ensure that the Trust has the necessary budget and approval to pay the full amount for the selected membership within the specified timeframe.

Before completing this form, we strongly advise that you:

Confirm with your Ward Manager and/or Accounts Department that the required funds are approved and available.
Failure to ensure timely payment may result in the Trust being placed on hold, preventing further staff members from attending NAPICU events and conferences. This will impact all wards under the Trust.

Please confirm your funding approval to avoid any disruption.
Thank you for your cooperation.
Ward Name*
Ward Contact Number*
Mobile or Landline
How many staff are on your ward?*
How many beds are on your ward?*
Please select which most relates to your ward:*
If your ward is not a PICU, please best describe your ward/unit?
Does your ward have a Occupational Therapist?*

YesNoNot currently but we are hiring
Does your ward have a Psychologist?*

YesNoNot currently but we are hiring
Ward Address*

Street Address

Street Address Line 2

CityCounty

Post CodeCountry

Membership Type
Membership Period
Memberships run annually from 1st April to 31st March, regardless of the date the membership is submitted.

If you are applying closer to the end of the year or very early in the year, we strongly recommend considering a two-year membership to maximise the benefits for your staff.
Alternatively, we suggest waiting until 1st April to renew or begin a new membership.
Membership Type*
prevnext( X )
1 Year Membership
£695.00



2 year Membership
£1,300.00



3 year Membership 2
£1,800.00



Total

£0.00

Signature*

Clear
Print Name*
Once completed please return to the administration office – info@napicu.org.uk

NAPICU Administration Office
238 Main Street, Rutherglen, Glasgow, G73 2HP
T: 01355 244 585 E: info@napicu.org.uk
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WARD Membership Application