Membership Application

coacpr membership application


To download a Word version of the membership application, click on the appropriate link:

  • Regular Institutional Membership: Multiple members per institution, 1 voting member. $100 annual membership fee. Membership Application
  • Sustaining  Membership: Individual or Multiple members per Organization, no voting rights. $100 annual membership fee. Sustaining Membership Application
  • Supporting Membership: Multiple members per Organizations who donate $1000/yr. Through this membership, one member from this group will be eligible to sit on the Commission on Accreditation. Supporting Membership Application

Please type application and use additional space as needed to provide updated information. Mail your completed application with your membership fee to:

Marjorie Neidecker, PhD, RN
Treasurer, CoAPCR
7623 Kestrel Way West, Dublin OH 43017
614-302-3904 Office
614-302-3904 Mobile

Want to pay your Membership Fee via Credit Card?

Click the link below to pay with PayPal. (You must still mail or email your completed application).

Membership Options