HONOR SOCIETY OF NURSING
SIGMA THETA TAU INTERNATIONAL
(Phi Omega at Large)

Nurse Leader Membership Application

PLEASE READ CAREFULLY:
Thank you for your interest in the Honor Society of Nursing, Sigma Theta Tau international membership.

Nursing professionals not previously inducted as nursing students can join STTI as a Nurse Leader. Students in graduate programs who meet the Nurse Leader criteria shall be eligible to be considered as a Nurse Leader at any point in the program.

Criteria for consideration: 
Must be a registered nurse, legally recognized to practice in their country with a minimum of a baccalaureate degree or the equivalent in any field, and have demonstrated achievement in nursing.

Instructions: Please complete this application and submit it and your brief (no more than 8 pages) CV, bio sketch, or resume to Sigma Theta Tau International. It will be forwarded to a chapter for review of eligibility.

Personal Information (Please complete in English)
* Name (Name and Credentials)
*Home Address
* Business Address
(Employer Name/Department)
* Telephone Numbers (Office,Home)
* Fax Numbers
* Business E-mail address
* Home E-mail address
Should STTI use your “business” or “home” email address for communication?
Preferred Sigma Theta Tau Chapter (if known)
I would like to be considered for an induction on an International Induction Day
Present Position (title and description)
Education (include basic preparation through highest degree held)
Degree                          Institution                    Major Area Of Study                   Year Completed
                             (Name, City, Country) 
Please check areas of achievement in nursing and use the space below to describe:
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