Local Chapter Connection Form for Pre-Licensure Nursing Students

Local Chapter Connection Form for Pre-Licensure Nursing Students
Stay connected with the Virginia Nurses Association (VNA) chapter in your area! By completing this form, you will receive information about events, programs, and opportunities from VNA and local chapter leaders in your area. Explore our Local Chapter Page with a map of our 12 chapters to find your chapter area.
Which chapter area are you located?*
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
School of Nursing*
Expected Graduation Date*

MonthDayYear
Date
How did you hear about the Virginia Nurses Association?*
Additional Comments:
I consent to receive communications from the Virginia Nurses Association (VNA) and my local chapter regarding events, programs, and membership opportunities.*

Yes
I understand that this does not provide membership in VNA, but rather offers access to connect with its local chapters and leadership.*

Yes
Should be Empty: