Name* First Last Email* Phone*Are you a member of a local chapter affiliated to NAINA or NAINA Virtual Member?*Select oneYesNoYour NAINA affiliation*Select oneNAINA Virtual MemberAlbany, NYNew York, NYAtlanta, GAAustin, TXSan Antonio, TXHouston, TXDallas, TXTampa, FLMiami, FLNew Jersey INew Jersey IIChicago, ILPhiladelphia, PAGilbert, AZFresno, CAMaryland, MDColumbia, SCWest Ford, CTDetroit, MINorth CarolinaOklahomaWould you like to join NAINA?*Select oneYesNoHighest level of Nursing education*Select oneAssociate/DiplomaBachelorsMastersDoctorate in Nursing Practice -DNPDoctorate in Education -EdDDoctorate in Research – PhDPre-doctoral FellowshipPost-doctoral FellowshipHave you received grants previously?*Select oneYesNoPrimary job*Select oneInpatient: Urgent care, critical care/ER care, intensive careOutpatient: Private ClinicAcademiaInsuranceCase managementHome careTelehealthCommunity HealthGerontologyLong-term Care/RehabilitationInformaticsSurgeryPediatricsPerioperativePrimary CarePublic HealthTechnologyWomen’s HealthOtherSpecify your Job* Current Job position*Select oneStaff RNCharge nurseNursing supervisorAssistant Manager/Clinical ManagerManagerAssistant DirectorAssociate DirectorDirectorAssistant ProfessorAssociate ProfessorProfessorAssistant DeanAssociate DeanDeanVice PresidentPresidentChief Nursing OfficerNurse EntrepreneurNurse PractitionerSenior Nurse PractitionerClinical Nurse SpecialistCertified Nurse MidwifeCertified Registered Nurse AnesthetistNurse Researcher/ScientistOtherSpecify your Job* Research Interest*May choose more than one Qualitative Research Quantitative Research Mixed Methods Select AllChoose one or more from the research interest groups stated below* Cardiovascular Health Among Asian Indians Diabetes Mellitus Among Asian Indians Obesity Among Asian Indians COVID-19 Research/Evidence-based Practice Global Health Behavioral Health/ Co-morbid conditions Family Health Health Systems, Policy & Informatics Nursing Education Oncology Palliative & End-of-Life Care Women’s Health & Childbearing