Transcultural Nursing Society(TCNS)

PETITION FOR NETWORKING CHAPTER REGISTRATION

"That the culture care needs of people in the world will be met by nurses prepared in transcultural nursing."
Madeleine Leininger

Proposed Name of Chapter:

TCNS Networking Chapter of

(Name of city/state/region) Example: Denver, Amsterdam

CHAPTER PRESIDENT/PRIMARY CONTACT INFORMATION
Date:
Title: First Name:
Last Name:
Credentials:
Mailing Address Line 1:
Mailing Address Line 2:
Mailing City:
Mailing State/Province:
Mailing Country:
Mailing Zip Code:
Contact Email:
TCNS Member:
Current Student:
Current Program of Study:

CHAPTER INFORMATION
Geographic borders of chapter by region – city, state, province, country:
Where will Chapter be housed:
Mailing Address Line 1:
Mailing Address Line 2:
Mailing City:
Mailing State/Province:
Mailing Country:
Mailing Zip Code:
Contact Email:
Contact Phone:

Please describe your proposed purpose and activities for the chapter. List current TCNS members involved in the formation of the chapter. (There is no minimum number of members required to start a chapter)

Chapter Participants - Application Signature

Number of members in chapter

No minimum number of members required

Chapter Members are members of TCNS:

All individuals participating in a chapter must be members of the Transcultural Nursing Society.

Signature:

Click continue to review your petition to start a Networking Chapter before submission: