Review, Download, & Complete your CE and Professional (PA) Activity Records
(see Section 3.2.1 of the Handbook)
The following downloads provide all templates and guidance necessary to complete your application.
Reference the Application Checklist - To complete the above two documents reference the Application Checklist for the proper file naming to ensure entries use the proper naming convention. (See Handbook Appendix B and C for examples).
CE Documentation Record - Record CE activities earned within the 3-year window preceding submission of an application for certification on the CE Documentation Record. The CE certificate must contain language that supports the activity is from an accredited or approved provider or an accredited approver.
CE Certificates - Download all CE certificates recorded on CE Documentation Record.
Professional Activity (PA) Record - Record all professional activities earned within the 5-year window preceding submission of an application for certification on the Professional Activity Record.
CRN Preceptor Form - Complete if applicable for documentation of preceptorship
CRN Mentorship Form - Complete if applicable for documentation of mentorship
Professional Exemplar - Refer to Handbook Section 3.4 for detailed instructions.
Complete your Resume
Using the resume template in Appendix E, revise your current resume and save using the naming convention.
Write your exemplar
An exemplar is a narrative or story about a topic that reflects the CRNs practice/experience/expertise. Describe what was learned from the experience and how this experience allowed you to grow professionally as a CRN.
Refer to Handbook Section 3.4 for detailed instructions.
Refer to Appendix F for scoring rubric.
Your exemplar should provide evidence of clinical research nursing practice excellence specifically related to the following topics:
• Professional Growth and Development
• Professional Practice
• Team Focus and Interprofessional Collaboration
• Quality and Safety
Submit your application
You've done it! It's time to submit!
Click the button below to complete the application and upload your portfolio documents.