Ancc Certification Verification PDF Details

Embarking on the journey towards certification in nursing is a pivotal step in the professional development of Advanced Practice Registered Nurses (APRNs). At the heart of this journey lies the Ancc Certification Verification form, a crucial document designed to validate the educational qualifications of APRN candidates. This form requires careful completion, starting with the candidate filling in their personal information and then passing it along to the Program Director, who is tasked with verifying the candidate's educational background and clinical experiences. Details such as course numbers, clinical hours, and the specific role and population focus of the program are meticulously documented. The form offers options for submission, including hard copy, electronic, or mail, to the American Nurses Credentialing Center (ANCC), facilitating a seamless verification process. It emphasizes the importance of accurate, complete, and authorized information, underscoring its role in the review of the candidate's eligibility for certification examinations. The Ancc Certification Verification form ultimately serves as a testament to the candidate's readiness to advance in their nursing career, ensuring that only qualified individuals reach certification.

QuestionAnswer
Form NameAncc Certification Verification
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesancc validation of education form, ancc validation search, validation education form, ancc validation

How to Fill Out Validation of APRN Education Form CPM-FRM-51

Validation of APRN Education Form CPM-FRM-51 at a glance

What it is: The Validation of APRN Education Form (CPM-FRM-51, Mar 2025) is for the Applicant for Certification: EDUCATIONAL DEMOGRAPHICS and ATTESTATION.

Who signs: Sign under Required Applicant Signature, then enter Printed Name and Date.

What to bring and attach to Validation of APRN Education Form CPM-FRM-51

Collect Required Documents for Submission: Unofficial/Official Transcript(s), Completed Validation of Education Form and Clinical Logs reflecting clinical hours completed.

Official Transcripts must be sent directly from your school to ANCC.

A filled-in Validation of APRN Education Form CPM-FRM-51 example: an FNP graduate completes the form

Validation of APRN Education Form CPM-FRM-51 example filled out, example: an FNP graduate completes the form
Jane Sample, an FNP graduate, completes the Validation of APRN Education Form. She completed 612 clinical hours in her master's program, graduating in May 2026. She has graduated, so DATE OF DEGREE CONFERRAL shows a past date. She answers YES to both questions under PROGRAM ELIGIBILITY REQUIREMENTS, so NO stays empty. No course was transferred, so Course transferred Check box and University Name for Transfer Course stay empty under APRN CORE ELIGIBILITY REQUIREMENTS. She is not a PMHNP applicant, so YES and NO under CLINICAL ELIGIBILITY REQUIREMENTS stay empty. The picture shows page 2, and its names and figures are sample values.

How to fill out Validation of APRN Education Form CPM-FRM-51, box by box

APPLICANT DEMOGRAPHICS

Validation of APRN Education Form CPM-FRM-51 example filled out, aPPLICANT DEMOGRAPHICS

Under APPLICANT DEMOGRAPHICS, enter Last Name, First Name, MI, Other Legal Names Used, Email, Address, City, State and Zip/Postal.

EDUCATIONAL DEMOGRAPHICS

Validation of APRN Education Form CPM-FRM-51 example filled out, eDUCATIONAL DEMOGRAPHICS

Under EDUCATIONAL DEMOGRAPHICS, enter University Name, State, Faculty Program Director Name/Title, Faculty Email and Faculty Phone Number.

APPLICANT PROGRAM TYPE and APPLICANT DEGREE AWARDED

Validation of APRN Education Form CPM-FRM-51 example filled out, aPPLICANT PROGRAM TYPE and APPLICANT DEGREE AWARDED

Select Role/Population of Education Program under APPLICANT PROGRAM TYPE and Select Applicant Degree Type under APPLICANT DEGREE AWARDED.

Degree and Program type MUST match university transcripts. If post-graduate certificate is not identified as degree type on university transcript, applicant must submit a letter of attestation from university registrar on letterhead confirming degree type completed.

DATE OF DEGREE CONFERRAL and NURSING PROGRAM ACCREDITOR

Validation of APRN Education Form CPM-FRM-51 example filled out, dATE OF DEGREE CONFERRAL and NURSING PROGRAM ACCREDITOR

For DATE OF DEGREE CONFERRAL, for applicants who are applying prior to graduation, select future date of anticipated degree conferral.

Under NURSING PROGRAM ACCREDITOR, indicate nursing accreditor at time of applicant's graduation.

PROGRAM ELIGIBILITY REQUIREMENTS

Validation of APRN Education Form CPM-FRM-51 example filled out, pROGRAM ELIGIBILITY REQUIREMENTS

Under PROGRAM ELIGIBILITY REQUIREMENTS, mark YES or NO for each: Program includes content in Health Promotion/Disease Prevention. Program includes content in Differential Diagnosis and Disease Management, including the use and prescription of pharmacologic and nonpharmacologic interventions.

APRN CORE ELIGIBILITY REQUIREMENTS

Validation of APRN Education Form CPM-FRM-51 example filled out, aPRN CORE ELIGIBILITY REQUIREMENTS

Under APRN CORE ELIGIBILITY REQUIREMENTS, for each of Advanced Physical and Health Assessment, Advanced Pathophysiology and Advanced Pharmacology, enter Term/Year of Completion, Course Number and Course Title, which Must match transcript(s). If the Course was transferred, Check box and enter University Name for Transfer Course.

CLINICAL ELIGIBILITY REQUIREMENTS

Validation of APRN Education Form CPM-FRM-51 example filled out, cLINICAL ELIGIBILITY REQUIREMENTS

Under CLINICAL ELIGIBILITY REQUIREMENTS: "Indicate total number of faculty-supervised clinical hours completed by applicant directly related to the role/population of program identified above." Please submit a copy of clinical logs with Validation of Education Form.

For PMHNP applicants only. Clinical training in at least two psychotherapeutic treatment modalities: mark YES or NO.

ATTESTATION

Validation of APRN Education Form CPM-FRM-51 example filled out, aTTESTATION

Under ATTESTATION: I, the Applicant for Certification (the “Applicant”), attest to and confirm that the information provided in this Validation of APRN Education Form (“Form”) is true, accurate, and complete, and reflects the coursework and clinical hours actually completed by the Applicant.

For applicants applying for Certification prior to degree conferral, this attestation confirms that all coursework and faculty-supervised clinical hours for the program and degree are complete.

Applicant attests that the total number of faculty-supervised clinical hours do not include hours awarded for work experience or any hours other than faculty-supervised clinical hours in the role/population indicated on the VOE form.

For post-graduate certificate applicants, this attestation confirms that all transcript(s) and associated course syllabi (source documents) from the original degree program(s) were reviewed and validated by the faculty program director upon enrollment in the post-graduate certificate program.

Applicant attests that the faculty program director conducted a formal gap analysis of transfer courses and has evaluated and validated that all transfer courses meet the current existing requirements for the post-graduate certificate program.

More rules for Validation of APRN Education Form CPM-FRM-51

ANCC reserves the right to request a more detailed accounting of educational demographics of applicants prior to continuation of application review. Requests may include, but are not limited to, the requirement to produce source documents such as course descriptions/syllabi from time applicant completed coursework.

ANCC reserves the right to close applications where source documents are not provided.

ANCC may contact the faculty program director with questions as needed.

Before you go

Complete all sections of the Validation of Education Form.

Common questions about Validation of APRN Education Form CPM-FRM-51

Where do I file it?

Submit VOE, Unofficial Transcripts and Clinical Logs by one of the options: Upload to website at time of application, Upload to web based ANCC portal after initial online application is complete, or Email completed PDF attachment to APRNValidation@ana.org.

Sources

[1] Validation of APRN Education Form (CPM-FRM-51, Mar 2025), American Nurses Credentialing Center (the Official source link on this page).

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