Transcultural Nrsg Basic Certification Form

Transcultural Nursing Basic Certification Application

MANY CULTURES ONE WORLD
Applicant Information
Are you a current member of the Transcultural Nursing Society *

Yes No
If yes, enter your membership number below.
(Found on Membership Materials if Available)
Name *

Prefix First Name Last Name Credentials
Address *

Street Address

Street Address Line 2

City State

Zip Code Country
Phone Number

Country Code Area Code Phone Number
Employer and Job Title *
Primary Contact Email For Communications from regarding this application *

Confirmation Email Confirm email address
Secondary Email Contact
example@example.com
Birthdate *

Month Day Year
Eligibility Criteria

To become certified, candidates must meet all five of the eligibility criteria listed below at the time of application. Complete the application form, submit all fees, and successfully pass the certification examination with a score of 70% or higher. No persons shall be excluded from the opportunity to participate in the Certification in Transcultural Nursing program on the basis of race, color, national origin, religion, sex, age, affiliation, or disability. To be eligible to participate in the examination, all criteria listed below must be completed prior to the application being submitted.

Basic Level CTN (CTN-B) Criteria
- Hold a current, active, unrestricted RN license in a state or territory of the United States or the professional, legally recognized equivalent in another country.
- Hold a diploma, an associate, or BSN degree from a program accredited by the Commission on the Collegiate of Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC) if the school is in the US; or legally recognized equivalent in another country.
- Currently employed in nursing, either full- or part-time, at the time of application.
- Completed at least one course (didactic and/or clinical) in cultural diversity and promotion of cultural competence for a minimum of 3 credits (or equivalent 42 Contact Hours).
- Completed 2400 hours of transcultural nursing practice as a registered nurse in an administrative, teaching, research, or clinical capacity, either full- or part-time during the five years prior to submitting your application.
Description of Practice

The CTN-B practices in diverse settings including primary care, acute care, community settings, rural/remote area nursing, and long-term care across the life span and is actively engaged in education (e.g. patient, staff, students, and colleagues), case management, clinical practice, consultation, research, and/or administration.
Application Criteria

All five criteria below must be met in order to sit for the transcultural nursing basic certification exam.
1. Do you hold a current, active, unrestricted RN license in a state or territory of the United States or the professional, legally recognized equivalent in another country? *

Yes No
RN License State/Country *
RN License Number *
2. Do you hold a a diploma, an associate, or BSN degree from a program accredited by the Commission on the Collegiate of Nursing Education (CCNE) or the National League for Nursing Accrediting commission(NLNAC) if school is in the US; or legally recognized equivalent in another country? *

Yes No
3. Are you currently employed in nursing, either full- or part-time, at the time of application? *

Yes No
4. Have you completed at least one course (didactic and/or clinical) in cultural diversity and promotion of cultural competence for a minimum of 3 credits (or equivalent 42 Contact Hours). *

Yes No
5. Have you completed 2400 hours of transcultural nursing practice as a registered nurse in an administrative, teaching, research, or clinical capacity, either full- or part-time during the five years prior to submitting your application. *

Yes No
Privacy Policy

The Transcultural Nursing Society (“TCNS”) respects you and understands how important the privacy of your personal information is to you. We are committed to honoring your privacy. In addition, TCNS is committed to developing or utilizing technology that gives you the most powerful and secure online experience. Personal information collected by TCNS will only be used to conduct business with its members and will not be sold. TCNS will not share with others except as identified in our privacy policy. Use of our website, membership application forms, and event registrations indicates understanding and agreement with this policy. Read the full policy https://tcns.org/privacy-policy/ here.
I agree to the privacy and communications policy of the Transcultural Nursing Society *

Yes No
Testing Site Information

Applicants may sit for the transcultural nursing society basic certification in either an in-person proctored testing site (University Testing Service) or in a proctored online testing environment (terms apply). In-Person certification examinations are administered by a computer-based testing system at various Consortium of College Testing Centers (CCTC) approved sites across the US and Canada. CCTC is a free referral service provided by the National College Testing Association (NCTA) to facilitate distance learning. For more information regarding testing standards, please go to: http://www.ncta-testing.org/cctc/find.php If an NCTA testing site is not close to your location please contact us. We will be happy to help you make arrangements to take the exam at a formal testing site (University based or testing service) closer to your location. All costs associated with the testing site/service are the responsibility of the applicant.
What type of testing environment do you wish to use?

In-person exam at a testing center in a local area? Please complete field below for in-person location. Online proctored testing, please provide details
Name of In-Person Testing Location:
Testing Location Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Name of Testing Site Contact:
Testing Site Contact Email
example@example.com
Proposed Date and Time Examination (Please use the Easter Time Zone for your time selection) *
Examination dates must be at least five weeks from the examination date and no more than eight weeks.
Do you require any special accommodations for your exam? *

Yes No
If yes, please described
Do you agree to follow all testing location policy and procedures? *

Yes No
Please verify that you are human *
BASIC CERTIFICATION IN TRANSCULTURAL NURSING IS ACHIEVED BY NURSES WHO PASS AN EXAMINATION BASED ON THE CONTENT OUTLINE AND REFERENCE LIST PROVIDED IN THE EXAM GUIDE. I ATTEST THAT I WILL SUBMIT A PORTFOLIO OF EVIDENCE THAT SUPPORTS THE CRITERIA INDICATED ABOVE. (IF REQUIRED BY RANDOM AUDIT BY THE TRANSCULTURAL NURSING CERTIFICATION COMMISSION)

(MY SIGNATURE) INDICATES THAT I HAVE DOCUMENTED EVIDENCE AND WILL SUBMIT IT AS REQUIRED IN A RANDOM AUDIT AND THAT I AGREE TO FOLLOW ALL REQUIREMENTS AND POLICIES OF THE TRANSCULTURAL NURSING CERTIFICATION COMMISSION. I AM AWARE THAT THE TRANSCULTURAL NURSING CERTIFICATION COMMISSION MAY ANALYZE ALL DATA RECEIVED FROM THIS PROCESS/EXAM AND THAT IT WILL BE AGGREGATED SO THAT NO INDIVIDUAL CAN BE IDENTIFIED.
Application Signature *

Clear

Certification Application Payment *

Current Member of The Transcultural Nursing Society Current Member of the Transcultural Nursing Society

$ 325.00

Non-Member of the Transcultural Nursing Society

$ 450.00

Total

$ 0.00

Credit Card Information
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

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Transcultural Nursing Basic Certification Application

Applicant Information

Eligibility Criteria

Application Criteria

Testing Site Information