Lifetime Membership Nomination Form

Life Membership Nomination


In no more than 600 words outline why you have nominated this nurse that includes the following criteria.

  • Substantive contribution to VPNG
  • Substantive contribution to perioperative nursing
  • Contribution to ACORN
  • Length of service to VPNG, ACORN and perioperative nursing


Nominated by


Call Us:
1300 72 11 69
Trade Partners Sign up here

The Victorian Perioperative Nurses Group acknowledges Aboriginal and Torres Strait Islander people as the traditional owners of the land and acknowledges and pays respects to the Elders past, present and emerging.

VPNG is comitted to safe and inclusive workplaces, policies and services for people of LGBTIQ communities and their families.

Site by GMAC Internet Solutions