In celebration of our NPs and our upcoming membership drive "MICNP: Better Together," we're asking you to share your story! Your answers could be featured on our website or social media!

Tell us what you love about being a MICNP member, who has influenced you in your career and what makes your story unique! Your member spotlight could offer insight to someone who has been interested in MICNP and could encourage them to join!

Once filling out your personal information, click the next button at the bottom of the page to review the questions and answer any and all that may apply.

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* 1. First and Last Name

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* 2. Credentials

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* 3. Title and Organization

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* 4. Years of Membership

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* 5. MICNP Involvement - Board/Chapters/Committees/etc.

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* 6. Submit a photo!

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 7. I hereby grant permission to MICNP to use my name, organization, photograph and testimonials shared in this survey for print publications, news releases, online, social media, and other communications related to the MICNP: Better Together Campaign.

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