Providence Willamette Falls Medical Center Per Diem ONA Membership Application Pledge

By completing the following application, you agree to become an ONA member once the new contract is ratified.

You will NOT be charged membership dues until the contract is ratified.

The Oregon Nurses Association (ONA) is the largest and most influential nursing association in the state. In our more than 100 year history, ONA has changed the face of nursing in Oregon by improving working conditions for nurses, advancing nursing practice, and protecting patient’s rights.

ONA dues are calculated at a yearly rate and dues are taken out per pay period. Bargaining unit and constituent association assessments may change total dues paid.

First Name *

Middle Initial

Last Name *

Home Mailing Address *

City *

State *

Zip Code *

Personal Email Address (No work email please) *

*

Cell Phone

Home Phone

Oregon RN, LPN, or PA license or other certification number *

Credentials

Licenses held (check all that apply)

Work Information

Unit *

Shift

Work Phone

Secondary employer (if applicable)

ONA 2021-2022 Dues Rates

Providence Willamette Falls Medical Center Dues Rate Information

Dues are calculated at a yearly rate and are deducted per pay period. The dues rate shown here is before any special reduced dues discounts you may qualify for as noted below.

ONA Membership: $49.82* per pay period (valid through June 30, 2022)

* Discounted dues for individuals working 64 hours or fewer per month is $25.93 per pay period.

Membership includes ONA, ANA, AFT, local ONA Constituent Association, Oregon AFL-CIO, ON-PAC, NU-PAC, and bargaining unit assessment where applicable. Please send a letter to ONA if you do not want a portion of your dues to go to ON-PAC and/or to NU-PAC and instead direct ONA to deposit that amount in the ONA General Fund.

You will NOT be charged membership dues until the contract is ratified.