AMERICAN HOLISTIC NURSES' CREDENTIALING CORPORATION: RECERTIFICATION APPLICATION Welcome to the AHNCC Recertification Process. To ensure that your Recertification Application is complete, please use the following checklist. An incomplete application will not be processed and may result in expiration of your certification. General Information and Checklist I am Recertifying for (choose one): HN-BC HNB-BC AHN-BC APHN-BC NC-BC HWNC-BC I am requesting reactivation of my certification for (choose one): HN-BC HNB-BC AHN-BC APHN-BC NC-BC HWNC-BC If requesting reactivation, indicate that your certification expiration date is less than 2 years Checklist: Typed or printed clearly all forms in black ink Completed background information Enclosed all eligibility requirements including: Photocopy of current RN license with COPY written across it. Current employment. Competency (documented with continuing education contact hours (CE over past 5 years). Copies of completed CE earned over past 5 years (Note: keep original copies). Documentation that a minimum of two drafted examination items has been submitted to PTC. Witnessed and signed Letter of Agreement. Signed check or Paypal receipt for Recertification Fee for 5year period Stapled recertification fee verification to top right sheet of Application Late fee payment as indicated below, if submitted after due date**. Retained a copy of all documents for your personal files **PLEASE NOTE: applications postmarked after the due date (i.e., 60 days before certification expiration) will be •Renewal assessed a $35.00 late fee in addition to the Recertification Fee; applications will be accepted up to two (2) years from the expiration date with a $100 •Reactivation reactivation fee in addition to the Recertification Fee. After expiration of the two (2) year reactivation period, candidates must complete all recertification criteria, take the certification examination, and pay related fees. Please return all application forms at the same time to: AHNCC Director of Recertification Program 811 Linden Loop Cedar Park, TX 78613 Or Email:
AMERICAN HOLISTIC NURSES' CREDENTIALING CORPORATION: RECERTIFICATION APPLICATION Welcome to the AHNCC Recertification Process. To ensure that your Recertification Application is complete, please use the following checklist. An incomplete application will not be processed and may result in expiration of your certification. General Information and Checklist I am Recertifying for (choose one): HN-BC HNB-BC AHN-BC APHN-BC NC-BC HWNC-BC I am requesting reactivation of my certification for (choose one): HN-BC HNB-BC AHN-BC APHN-BC NC-BC HWNC-BC If requesting reactivation, indicate that your certification expiration date is less than 2 years Checklist: Typed or printed clearly all forms in black ink Completed background information Enclosed all eligibility requirements including: Photocopy of current RN license with COPY written across it. Current employment. Competency (documented with continuing education contact hours (CE over past 5 years). Copies of completed CE earned over past 5 years (Note: keep original copies). Documentation that a minimum of two drafted examination items has been submitted to PTC. Witnessed and signed Letter of Agreement. Signed check or Paypal receipt for Recertification Fee for 5year period Stapled recertification fee verification to top right sheet of Application Late fee payment as indicated below, if submitted after due date**. Retained a copy of all documents for your personal files **PLEASE NOTE: •Renewal applications postmarked after the due date (i.e., 60 days before certification expiration) will be assessed a $35.00 late fee in addition to the Recertification Fee; •Reactivation applications will be accepted up to two (2) years from the expiration date with a $100 reactivation fee in addition to the Recertification Fee. After expiration of the two (2) year reactivation period, candidates must complete all recertification criteria, take the certification examination, and pay related fees. Please return all application forms at the same time to: AHNCC Director of Recertification Program 811 Linden Loop Cedar Park, TX 78613 Or Email:
RECERT-APPL.-9.2.2016.docx