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ORNAC Registration
Step 1 of 4: Enter registration information

Steps: Enter registration information > Verify your information > Select payment method > Enter payment information

Please complete the form below to register with ORNAC for the membership year. Fields with a red asterisk ( * ) are required.

There are several methods of payment. You can use a credit or Interac card.

If you have previously registered with us online and wish to renew your registration, please click here instead.

Registration Information
Registration Type: *
Region:Ontario, ORNAHD
I would also like to join the following group(s): RNFANC ($10 fee applies)
PNEC
CORL ($10 fee applies)
Personal Information
First Name: *
Last Name: *
Country: *
Address: *
City: *
Province: *
Postal Code: *
Home Phone: *
Format: ###-###-####
Cell Phone:
E-mail: ***
Re-type your E-mail below:
**IMPORTANT: The above e-mail address is used as your primary contact method, so make sure you have typed it correctly before submitting. If you do not have a home e-mail, enter your work e-mail here.
Employment Information
Employer/Hospital: *
Country: *
Work Address: *
City: *
Province: *
Postal Code: *
Work Phone: ext
Format: ###-###-#### ext ####
Fax:
Work E-mail:
Employment Status: *
Current Position: *
If Other, please specify:
Nursing Information
Area(s) of Specialty *
(Check all that apply)
Cath Lab CVS Diagnostic Imaging Endoscopy
ENT General Surgery Gyne Labor And Delivery
Neurosurgery Oral Surgery Ophthalmology Orthopedics
Pediatrics Plastics Thoracic Vascular
Urology Other:
CPN(C)? *Yes No
CPN(C) Certification Number:
Year Certified/Recertified:
RN Registration Number: *
Are you a member of your Provincial RN Organization?Yes No
Provincial RN Organization Number:
Are you an RPN/LPN?Yes No
RPN/LPN Registration Number:
Are you a member of AORN?Yes No
Are you CNOR Certified?Yes No
Education Information
Check all that apply: Diploma
Post-Graduate OR Course
Baccalaureate
Masters
PhD
Are you currently enrolled in an educational program? *
Yes No
Are you involved in perioperative research? If so, please specify what area:
If you are affiliated with a University, please specify which one:
Preferences and Privacy Options
Please send mail to: *Work Address    Home Address
ORNAC Journal delivery: *Hard copy (mail)    Electronic (e-mail)
I do not wish my name/company to appear on the ORNAC website member page.
I am not interested in receiving industry news from ORNAC business partners.
I am not interested in receiving emails regarding ORNAC news and upcoming events.
I do not wish my personal information to be shared with other members, and do not wish to be part of the ORNAC network of nurses.
Demographic Information
Gender:
Age Group:
I plan to retire in:
Create a Password for Future Visits
For future visits to the registration area of this site, you will be assigned a username and require a password for access. Please create a password for yourself by entering it below. Your password must be at least 6 characters and contain both letters and numbers.
Password: *
Re-type: *