Class of membership applied for*
Username*
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Surname*
Firstname*
Title
Date of birth
Occupation
Qualifications
Professional Address
Department
Organisation
Postal Address*
Town / City*
Post Code*
Country*
Landline*
Fax
Mobile
Police Service
Region
Employer
Date Registered as Nurse
Length of Forensic Practice
Current Forensic Nurse Functions
Sexual assult Victims
Sexual assault Suspects
Forensic Nurse Examiner
Custody Nurse Practitioner
Other Role
Evidence in Court
I give evidence in court
As a Professional Witness
As an Expert Witness
Local Police Service
Region / County
Number of sexual assault victims seen in region per year
Number of sexual assault suspectsseen in region per year
Number of sexual assault victims seen by me per year
Number of sexual assault suspects seen by me per year
I have obtained the following additional qualifications. Please enter DATE INSTITUTION FULL TITLE OF Qualification
If you are not a nurse but you are applying for Associate Membership please complete the following fields
Profession
Current Role
In a few words please describe your interest in Forensic Nursing.
By submitting this form I hereby declare that I wish to apply for membership of the United Kingdom Association of Forensic Nurses in the class of membership indicated by me above. I declare that I have completed this form accurately and believe the information provided to be true. If accepted into membership I agree to abide by the Constitution of The United Kingdom Association of Forensic Nurses and will endeavour to uphold the mission and values of The United Kingdom Association of Forensic Nurses. If accepted into membership I agree to pay an annual subscription as published to The United Kingdom Association of Forensic Nurses in order to maintain registration, I accept that the first year of membership is free.