NBCSN Board Member Application

General Information

Thank you for your interest in joining the National Board for Certification of School Nurses (NBCSN). Please complete the application below. In order to complete this application, you will need to have the date of your original certification, the date you are due to recertify, and your certification number. You can find these by logging into your account at www.nbcsn.org.

You will also need your supervisor’s name, work address, phone number, and email. You will also need to upload a letter of intent, your current CV or resume and a letter of recommendation from a colleague or supervisor who has served with you in a leadership or management capacity, such as a state school nurse organization or another not-for-profit organization or in the course of your employment.

Thank you again for considering a commitment to NBCSN and furthering national certification for school nurses.

1. Name

2. Address

3. City

4. State

5. Zip

6. Email This question requires a valid email address.

Date of Original NCSN Certification

This question requires a valid date format of MM/DD/YYYY.

calendar

Certification Number

Recertification date/s