New Zealand College of Midwives (INC)

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Join New Zealand College of Midwives (INC)

Last Name

First Name

Preferred Name

Date of Birth

Gender

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Pronouns She/her
He/him
They/them
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Ethnicity

Māori
NZ European/Pākehā
Cook Islands Māori
Samoan
Tongan
Fijian
Niuean
Other Pacific Peoples
Chinese
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Other Asian
Middle Eastern
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Other European
Other Ethnicity

Iwi - optional

Ethnicity (Other)

Work Phone

Home Phone

Mobile Phone

Fax

Bank Account Number

Gst Registered?

Gst Number

Postal Address

Post code

Region

Sub Area

Employment Details

Employment types

Change of employment type may require a change in your billing category. Please contact membership.

Case loading midwife
Core midwife
DHB Educator
Midwifery Manager
Polytechnic/University Educator
Professional Advice/Policy
Consumers
Students
Affiliates
Other

Work Activities

Antenatal & Postnatal
Antenatal
Full LMC Care
Labour Birth
Postnatal

Work hours

Primary Place of work/study

Secondary Place of work/study

Primary Work Locations

Work locations

Sign In Details

Repeat Email

Password

Repeat Password

I agree to have my name and address available to organisations approved by the College

Do you give permission for NZCOM to provide your contact details to NZCOM approved mail outs?

Online copy only Midwife magazine

Phone

+64 03 377 2732

Fax

+64 03 377 5662

Delivery

376 Manchester Street
St Albans
Christchurch 8014
New Zealand

Post

PO Box 21-106
Christchurch 8140
New Zealand