Canadian Practical Nurse Registration Examination (CPNRE)

I hereby make application for examination under the Nursing Act (2019) respecting Registration of Practical Nurses. 

Please contact NSCN if a hard copy is required.

The below application is only to be completed by applicants that have been approved by NSCN to write the Canadian Practical Nurse Registration Examination (CPNRE).

Please do not complete the below application until you are ready to submit payment.

Personal Information
Name
 e.g. Maiden
Primary Phone Number
Secondary Phone Number
Educational Institution
Canadian Practical Nurse Registration Exam (CPNRE)
Did NSCC collect the CPNRE fee with your tuition
Do you plan to write the next CPNRE
Graduates must write and pass the CPNRE within two years of graduation from a practical nursing/nursing program.
Signature

Release of Information: Under the Personal Information Protection and Electronic Documents Act (PIPEDA), your contact information may be released by the College to third parties for research, surveys or educational purposes.

I understand that information on this application, or in my supporting documentation, which includes personal information that belongs to me, may be communicated to third parties (such as exam providers) for the purpose of determining and communicating my eligibility for a registration exam and I consent to Assessment Strategies Inc. disclosing such information to their parties solely for that purpose. Methods of transmission include, but are not limited to: verbal, written, and email communication of this information.

I certify that I am the person named above and that I understand notification of Pass/Fail results will be released to the educational institution for statistical purposes only.
Your full name