PLNA Student Member Application

Thank you for choosing to apply for Student membership to PLNA online. The membership is FREE. Once approved your membership will be good until your graduation date.

You will be contacted via email within one week of submission of your application with login information for PLNA.com. This will provide you access to Member's Only content and functionality.

NOTE: School information is required to gain membership as a Student.

After completing the information below, please click submit and you will be directed to the payment information.

First Name *		Last Name *
Address Line 1 *
Address Line 2
City *
State *		Zip/Postal Code *
Phone *
Email Address *
School Name *
Program of Study *
Month/Year Expected to Graduate (MM/YYYY) *