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Naprapathic Graduate Intern

**MEMBERSHIP DUES AND CONTRIBUTIONS ARE TAX-DEDUCTIBLE **

Your participation and dues support make these and other valuable opportunities possible.

Your membership means that the American Naprapathic Association can continue to be an active and vital part of the health care community; and potentially break down barriers that Naprapaths have faced in the past. Every member strengthens the association’s political clout in unison with each state’s chapter i.e. (INA for IL Licensed Naprapaths). Even when you don't have the time to be personally involved, your membership dues support the actions of other association members who work for better government.

Each passing year we focus on improving the following:

#1. Increased membership and membership retention. #2. More opportunities for licensed and practicing Naprapaths in mainstream medicine. This is extremely beneficial as you complete your studies in Naprapathy. #3. Sufficient compensation / reimbursement with insurance carriers. #4. Increased student enrollment with in the profession #5. Closely knitted relationships with the Illinois & New Mexico Naprapathic Association(s) #6. Gaining political support for this upcoming sunset with the Illinois Department of Financial & Professional Regulation (IFDPR).
We encourage you to sign up at www.naprapath.org

Applicant Information

You are a part of the future of this great profession. Without your participation and dues support, the association could not fulfill its commitment to helping every Naprapath in this country practice with their full rights and privileges.
***Used for Statistic and Demographic Information only***
***Used for Statistic and Demographic Information only***
***Used for Statistic and Demographic Information only***
***Used for Statistic and Demographic Information only***
***Used for Statistic and Demographic Information only***
***Used for Statistic and Demographic Information only***
***We will not share or disclose this information (for ANA internal use only)***
***We will not share or disclose this information (for ANA internal use only)***
***We will not share or disclose this information (for ANA internal use only)***
***We will not share or disclose this information (for ANA internal use only)***
***We will only share office information with your consent***
As an incentive to membership, your office / practice information will be displayed on the ANA Official Website under "Find A Naprapath"
Please provide the link for your "Linked In" profile below ***write "n/a" if not applicable***
Please provide the link for your business "Linked In" profile below ***write "n/a" if not applicable***
Please provide the link for your website ***write "n/a" if not applicable***

Educational Information

The American Naprapathic Association does not discriminate on the basis of race, religion, creed, sex, age, marital status, disability, national origin or sexual orientation in its educational programs, activities or employment practices. List all secondary and post-secondary institutions attended, in chronological order, beginning with the most recent attended.
Click or drag files to this area to upload. You can upload up to 2 files.
Please upload your current school registration.

Additional Licensing Information

If no is selected, you may write "n/a" in the required fields below to complete application.
Click or drag files to this area to upload. You can upload up to 4 files.
Please upload any and all medical or other professional licenses here.
Other professional licenses may include but is not limited to, nursing or medical assistants, pharmacy technicians, physical therapy assistants, occupational therapy assists etc...
Click or drag files to this area to upload. You can upload up to 2 files.
If more than once license has been disciplined, please upload separate explanations for each.
Please tell us any other volunteering commitments that you may have. ***Completion of ANA Conflict of Interest Disclosure Form will be required in application process.***

As a member, you make everything we do possible. Please renew your membership by June 1st each year.

This will give you ample time to avoid late fees and so that you can continue to receive mailings without interruption. If this date has passed already, please be sure to renew as soon as possible to take advantage of our membership incentives throughout the year. Your involvement is important and very much appreciated.

Sincerely, Shante Griggs, PharmD,Rph,DN

ANA Board of Directors “Committed to serving Naprapathic Doctors”

Thank You for completing the ANA Naprapathic Graduate Intern Membership Application.

Please be sure to date and submit your form.
Price: $ 75.00
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The American Naprapathic Association (ANA) is the oldest and largest association of Naprapathic Doctors. Established in 1909.

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