Member Application

This form is the official application to join APNN. Information is kept confidential; content in blue is used only to verify your professional background and is deleted after checks are complete.

Account Access

Username

Password

Personal Details

First Name(s)

Last Name

Mailing Address

City

Zip / Postal Code

State

Phone Number

Email Address

Professional Background

Profession

Current Job Title

Employer Name

Employer Mailing Address

Employer City

Employer Zip / Postal Code

Employer State

Employer domain

Membership Type

Declaration of Interest

Interest statement (max 200 words)

Check of Professional Background

My professional connection to negotiations

Years working in negotiations

Three relevant professional achievements in negotiation

Relevant professional or academic qualifications in negotiation

Reference Person No. 1

First Name(s)

Last Name

Current Job Title

Employer Name and City

Mailing Address

City

Zip / Postal Code

State

Phone Number

Email Address

My relationship to the reference

I agree that APNN may contact this reference to verify my professional background.

Reference Person No. 2

First Name(s)

Last Name

Current Job Title

Employer Name and City

Mailing Address

City

Zip / Postal Code

State

Phone Number

Email Address

My relationship to the reference

I agree that APNN may contact this reference to verify my professional background.

I consent to the collection and processing of my data for membership review and communication.