Membership Application

Membership is free and open to all concerned persons, except those within the long term care industry for whom membership might represent a conflict of interest. Employees of long term care facilities, such as nurses, aides and social workers are eligible for Associate (non-voting) membership.

Name

Address 1

Address 2

City

State

Zip

Email

Phone

Resident

Friend

If you are or were a resident or if you have or had a friend or family member in a long term care facility, please check all that apply and tell us what facility you or they are or were a resident of in the comments or questions area below.

Family

Now

In Past

In Maryland

Other State

Are you now employed in a nursing home or other long term care facility?  If yes, please tell us your position in the comments or questions area below.

Yes

No

Voices maintains an Email ListServe for its membership so that we can exchange ideas, disseminate information and discuss business issues. Would you like to join that ListServe?

Yes

No

Comments or Questions