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Clinical Research Nurse Certification Application

Upload your supporting documentation:

Please note underlined items below are live links to the document template should you need to download for submission.

Continuing Education Documentation Record *ensure you include ALL certificates with submission.
Professional Activity Documentation Record *
Resume *see Appendix E of Handbook
Exemplar (Not required for renewal)

If applicable, include:

CRN Preceptor Form
CRN Mentorship Form
Additional Documentation

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