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Kainga
Whakapapa
Tauira
Neehi
Peka
Mematanga
Rauemi
Waea Mai
Te Kaunihera o Ngā Neehi Māori
National Council of Māori Nurses
Application For Membership
Membership type
*
Please choose which membership type you are applying for:
Nga Neehi Māori – Māori Nurses (Registered Nurse / Enrolled Nurse / Nurse Practitioner) $115.00 gst inclusive (1 April – 31 March)
Nga Neehi Māori – Māori Nurses (Registered Nurse / Enrolled Nurse / Nurse Practitioner) $57.50 gst inclusive (1 October – 31 March)
Kaimahi Hauora – Māori Health Workers $23.00 gst inclusive
Tauira Neehi Māori - Māori Student Nurses $23.00 gst inclusive
First Name
*
Surname
*
Address
*
Suburb
*
City
*
Phone
*
Email
*
Iwi
Hapu
Age range
*
Please choose your age
Under 20 years
20 – 29 years
30 – 39 years
40 – 49 years
50 – 59 years
60+ years
Branch
*
Which Te Kaunihera branch do you belong to? Please choose
Te Tai Tokerau (Northern / Northland)
Tamaki Makaurau (Auckland)
Tauranga (Western Bay of Plenty)
Mataatua (Eastern Bay of Plenty)
Rotorua Maori Nurses (Waiariki) Taranaki
Kahungunu (Te Roopu Whaioranga o Kahungunu, Hawkes Bay)
Papaioea (Manawatu / Horowhenua / Whanganui)
Whitireia (Te Whanganui a Tara, Wellington region)
Te Tau Ihu o Te Waka a Maui (Nelson Marlborough)
Christchurch (Waitaha)
Other
Rohe
*
What rohe do you reside in?
Hauraki-Waikato (Nth Western Nth Is. includes Hamilton & Papakura)
Ikaroa-Rāwhiti (East & South Nth Is. includes Gisborne & Masterton)
Tāmaki Makaurau (Roughly equivalent to greater Auckland)
Te Tai Hauāuru (Western Nth Is. Incl. Taranaki & Manawatu-Wanganui)
Te Tai Tokerau (Includes Whangarei & North & West Auckland)
Te Tai Tonga (All of South Island and nearby islands)
Waiariki (Includes Tauranga, Whakatane, Rotorua, Taupo)
Other
Nursing registration details
Enrolled Nurse
Registered Nurse
Nurse Practitioner
When did you first register as a nurse?
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Year
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
Do you have a current practicing certificate?
Yes
No
Organisation you are employed in?
What is your current mahi/role/title?
eg Whanau Ora Nurse, Nurse Manager, Nurse educator
Which education provider are studying at?
What is your year of study?
First year
Second year
Third year
