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Certification of Related Learning Experience

The document is a certification of related learning experience from the Commonwealth Board of Nurse Examiners. It requests information about the applicant's name, college or university attended, degree obtained, date of graduation, and breakdown of their clinical nursing practice experience in areas like medical nursing, surgical nursing, pediatric nursing, obstetric nursing, and psychiatric nursing. The total clinical practice experience is to be shown in hours and weeks. The certification is signed and dated by the registrar or dean of the applicant's college or university.

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Amber Thompson
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757 views

Certification of Related Learning Experience

The document is a certification of related learning experience from the Commonwealth Board of Nurse Examiners. It requests information about the applicant's name, college or university attended, degree obtained, date of graduation, and breakdown of their clinical nursing practice experience in areas like medical nursing, surgical nursing, pediatric nursing, obstetric nursing, and psychiatric nursing. The total clinical practice experience is to be shown in hours and weeks. The certification is signed and dated by the registrar or dean of the applicant's college or university.

Uploaded by

Amber Thompson
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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COMMONWEALTH BOARD OF NURSE EXAMINERS

P. O. Box 501458, CK
Saipan, MP 96950
Telephone: (670) 233-CBNE (2263)
Email: [email protected]

CERTIFICATION OF RELATED LEARNING EXPERIENCE


NAME: ________________________________________________________________
NAME OF COLLEGE
OR UNIVERSITY ATTENDED: ______________________________________________
DEGREE OBTAINED: _____________________________________________________
DATE OF GRADUATION: __________________________________________________

BREAKDOWN OF CLINICAL NURSING PRACTICE EXPERIENCE, AS


STIPULATED IN NURSING COURSES:
CLINICAL PRACTICE

SUBJECT AREA

(how many hours in a


week x how many
weeks)

MEDICAL NURSING

SURGICAL NURSING

PEDIATRIC NURSING

OBSTETRIC NURSING

PSYCHIATRIC NURSING

Certified By: _________________________________

TOTAL CLINICAL
PRACTICE
EXPERIENCE
(show in hours & weeks)

Registrar or Dean of College of University


Here)
Date: _______________________________________
CBNE Doc 47

(Affix Official Seal

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