Student Member

Instructions

Welcome to the NSAA! We look forward to having you as a vital member of the National Surgical Assistant Association. Please fill out the information on the next page.

If you wish to print out a hard copy of the membership application and send it in with payment, Download Here

Select An Option

Student Member $25 One-Time Fee

A Student Member is an individual who is currently studying and enrolled in a CAAHEP Accredited Surgical Assistant Educational Program to become a CSA and is in good standing with the NSAA. A one time dues payment is required for Student Membership

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist