2026 Nurse Practitioner Association of Manitoba (NPAM) Membership
Please complete the form below. The information collected helps us provide required data to stakeholders. Your personal information will not be shared in any way that identifies you without your permission, except with NPAM’s trusted member partners when necessary to deliver specific member benefits.
Payment Options:
If you would like to pay via eTransfer, please use coupon code: TRANSFER below and do not fill in credit card information. Payments must be received within 24 hours to npam@nursepractitioner.ca or membership will not be valid.
Please choose your membership type:
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2026 Regular Membership
Open to any registered Nurse Practitioner
$
120.00
CAD
2026 Regular Membership +Telus
Open to any registered Nurse Practitioner. Telus Virtual Health Care included
$
156.00
CAD
2026 Student Membership
Open to any students currently enrolled in Nurse Practitioner studies
$
90.00
CAD
2026 Student Membership +Telus
Open to any students currently enrolled in Nurse Practitioner studies. Telus Virtual Health Care included
$
126.00
CAD
2026 Associate Membership
Open to individuals not currently licensed as a Nurse Practitioner, who have a committment to advancing the NP role
$
120.00
CAD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Full Name
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First Name
Last Name
E-mail:
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Phone Number
*
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please check off your employment setting. Select all that apply
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Regional Health Authority
Private Practice
Independent Contract
Virtual Care
Self-employed
Federal Government
Other
Which region(s) are you currently employed by:
Interlake Eastern Regional Health Authority
Southern Health - Santé Sud
Northern Regional Health
Shared Health
Prairie Mountain Health
Winnipeg Regional Health Authority
Check all that apply:
First Nations and Inuit Health Branch
First Nations Led Health
Canadian Forces
Correctional Health Services
Other
Please provide the name of your employer
What are your NP role(s)? Please check all that apply
*
Primary Care
Remote Communities
Pediatrics/neonatal
Mental Health
Hospital Care
Aesthetics
Locum coverage/travel
Education
Leadership Role
Urgent/Emergency Care
Long Term Care/Older Adults
Maternity
Addictions
Outpatient Care
Private Practice
Virtual Care
Research
RAAM Clinic
MAID
CancerCare
Other (please specify below)
Specify details
How many years have you been practicing as an NP?
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How many years did you practice as an RN before becoming an NP?
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What is your NP work setting
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Rural
Urban
Northern
Do you work as an NP in any other jurisdictions?
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Yes
No
Please state all other jurisdictions you are registered in
Are you a member of MNU?
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Yes
No
Would you be willing to volunteer for one of the following committees? (Please select any you may be interested in)
Conference Committee
NP Day
Membership & Member Benefits
Feel free to provide any other comments
I consent to NPAM contacting me by email, mail, or other methods to share updates, information, and requests related to NPAM’s work. My information may be shared with NPAM’s trusted partners solely for the purpose of providing member benefits (e.g., NP Current, MUMS Guidelines). NPAM does not sell or distribute my contact information to any outside agencies.
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