Get Nj Application For Advanced Practice Nurse Certification 2009

Filling out the New Jersey Application for Advanced Practice Nurse Certification online is a crucial step for individuals aspiring to advance their nursing careers. This guide will walk you through the various sections of the application, ensuring clarity and accuracy as you submit your application.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Attach a clear, full-face passport-style photograph (2˝x 2˝) of your head and shoulders, taken within the past six months. Ensure the photo is secured without staples.
3. Enter the date at the top of the application form. Ensure that it is filled in clearly.
4. Provide your personal information: Enter your date of birth, place of birth, and full name. Do not forget to include any maiden name if applicable.
5. Fill in your home address, including street or P.O. Box, city, state, ZIP code, county, telephone number, and email address. It is important to ensure all information is accurate.
6. Enter your Social Security number. Remember, failure to provide this number may result in denial or non-renewal of your certification.
7. Indicate your citizenship/immigration status by checking the appropriate box. If you are not a U.S. citizen, include supporting documentation.
8. Respond to questions regarding student loans and child support obligations. Be sure to provide necessary documentation if you answer yes to specific questions.
9. Answer the medical conditions questions carefully. You may choose not to answer if you believe your response may lead to self-incrimination.
10. Detail any previous professional licenses or certificates you have held, including discipline history if applicable.
11. Complete the education sections, entering your entry-level nursing education and any advanced nursing education completed.
12. Sign the affidavit section, confirming all information is true to the best of your knowledge. This must be executed before a notary public.
13. Submit the completed application along with the nonrefundable application fee of $100. Ensure the fee is in the form of a check or money order made out to the State of New Jersey.
14. After reviewing your application for completeness, you may then save changes, download, print, or share the form as necessary.

Start completing your application online today to advance your nursing practice!