Transcultural Nursing Advanced

Certification Application (CTN-A)

 

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:  
NAME:  
JOB TITLE:  
ORGANIZATION:  
HOME ADDRESS LINE 1:  
HOME ADDRESS LINE 2:

 

CITY:  
STATE/PROVINCE:  
COUNTRY:  
ZIP:  
PRIMARY PHONE:  
EMAIL: Required  
ALTERNATE PHONE:  
DATE OF BIRTH:

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 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).

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:  

TESTING SITE INFORMATION: All costs of the testing site are the responsibiltyof the applicant for certification

You may select a testing site from the National College Testing Association sites http://www.ncta-testing.org/cctc/find.php . If you would like to test at another testing service or university based testing site please supply the contact information below and we will attempt to get the site approved for your exam. For more information on selecting an alternate testing site, please email Lisa Dobson at ldobson@tcns.org .
Name of Testing Site:  
Address 1:  
Address 2:  
City:  

State:

 
Zip Code:  
Country:  

Proposed Testing Date/Time:

Exams are available Monday through Saturday 9am -4pm Eastern Time Zone. If needed a special time can be arranged. Email: Lisa Dobson: ldobson@tcns.org

 
   
Testing Site Contact Name:  
Phone:  
Email:  
   

1. Please select yes or no if you require special accommodations be made for your exam. Email documentation supporting your needs to Lisa Dobson at ldobson@tcns.org .
   

2. Please select yes or no to indicate if testing site chosen is a member of the National College Testing Association sites http://www.ncta-testing.org/cctc/find.php .
   

3. Please select yes or no to indicate that you agree to follow all testing site guidelines and exam guidelines as listed in the Transcultural Nursing Certification Exam Guide.

 

PAYMENT INFORMATION: Please check the appropriate payment amount and then click continue to review your application.

$300 US DOLLARS FOR CURRENT MEMBERS OF THE TRANSCULTURAL NURSING SOCIETY

$400 US DOLLARS FOR NON-MEMBERS

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. 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 customers, will not be sold, and will not be shared with others except as identified below.   Use of our website, membership application forms and registrations for event indicates understanding and agreement with this policy.  Read full policy here. 

Click continue to review your information before submitting your application and continuing on to the payment section: