Transcultural Nursing Advanced Certification (CTN-A) Re-Certification Application

IF mailing your application into our office with payment please be sure to use this secure address:
Transcultural Nursing Society
37637 Five Mile Rd., #319
Livonia, MI  48154-1543

Contact Information:

PHONE:  (888)432-5470   Toll Free

Email (Fastest Response) staff@tcns.org

Date:
Transcultural Nursing Society(TCNS) Member:
TCNS Member Number:  
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LAST FOUR SOCIAL SECURTY NUMBER:

I. BASIC ELIGIBILITY CRITERIA: Applicant must meet ALL FIVE of the criteria listed below. Please select yes or no to indicate if you meet each criteria listed below and provide any additional information requested. Each of the criteria listed below must have been met prior to applying for certification.
1. 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. PLEASE SUPPLY INFORMATION BELOW.
  STATE: COUNTRY: LICENSE NUMBER:
   
  2. Hold a master’s, post-master’s, or doctorate in nursing, education, philosophy, or related field from a program accredited by the Collegiate Commission of Nursing (CCNE or NLNAC) if the school is in the U.S.; or legally recognized equivalent in another country.
   
  3. Currently employed or self-employed in nursing, either full or part time, at the time of application.
   
  4. Completed at least one course (didactic and/or clinical) in cultural diversity and promotion of cultural competence with a minimum of 3 credits. (Equivalent of 42 Nursing Contact Hours/Units will also be accepted)
   
  5. Completed 2400 hours of transcultural nursing practice as a registered nurse in administrative, teaching, research, or clinical capacity, either full or part time within the previous five years. Description of practice: The CTN applicant may practice in diverse settings including primary 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.
II. ADVANCED ELIGIBILITY CRITERIA: Applicant must meet THREE of the five of the criteria listed below. Please indicate yes or no for each criteria. Yes will indicate which three criteria have been met, as listed below, prior to applying for the certification. The bulleted descriptions are meant as examples of documentable activities and are neither exhaustive nor all required to meet the particular criteria.
1. Evidence of professional growth in Transcultural Nursing.
 
  • Attendance at classes, workshops and conferences.
  • Conducting classes, workshops and conferences.
  • Accumulation of continuing education in transcultural nursing knowledge.
  2. Evidence of creative and innovative ways to promote and maintain transcultural nursing practice.
 
  • Short summary of endeavors.
  • Multimedia showing transcultural nursing practice in action.
  3. Evidence of research in transcultural nursing.
 
  • Research projects or grants.
  • Ongoing research: funded or community projects.
  • Published materials.
  4. Evidence of substantive or unique contributions made to advance transcultural nursing.
 
  • Community projects.
  • Teaching and mentoring.
5. Evidence of transcultural nursing leadership in teaching, research, or consultation to improve care in diverse cultures.
 
  • Letters of support from students, employers, etc.
  • Letters from other nurses.
  • Multidisciplinary leadership in programs, panel presentations, etc.

ADVANCED RE-CERTIFICATION IN TRANSCULTURAL NURSING IS ACHIEVED BY NURSES WHO MEET THE CRITERIA ABOVE AND CAN PROVIDE EVIDENCE. 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)

TYPING MY NAME IN THE BOX BELOW (MY SIGNATURE) INDICATES THAT I HAVE DOCUMENTED EVIDENCE AND WILL SUBMIT TO ANY 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 INDENTIFIED.

SIGNATURE:  
PAYMENT INFORMATION: Please check the appropriate payment amount.

$150 US DOLLARS FOR CURRENT MEMBERS OF THE TRANSCULTURAL NURSING SOCIETY

$250 US DOLLARS FOR NON-MEMBERS

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