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  • 24 Nclex Certfication of Related Learning Experience Crle 07 27 21

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    This document is a certification of related learning experience from the NMI Board of Nursing. It requests information including the name, college or university attended, degree obtained, and date of graduation of the applicant. It then asks for a breakdown of the applicant's clinical nursing practice experience in hours and weeks for various subject areas, including medical, surgical, pediatric, obstetric, psychiatric nursing and pharmacology. The certification must be signed and dated by the registrar or dean of the applicant's college or university and have the official seal affixed.

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    This document is a certification of related learning experience from the NMI Board of Nursing. It requests information including the name, college or university attended, degree obtained, and date of graduation of the applicant. It then asks for a breakdown of the applicant's clinical nursing practice experience in hours and weeks for various subject areas, including medical, surgical, pediatric, obstetric, psychiatric nursing and pharmacology. The certification must be signed and dated by the registrar or dean of the applicant's college or university and have the official seal affixed.

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    17 views2 pages

    24 Nclex Certfication of Related Learning Experience Crle 07 27 21

    Uploaded by

    pj orosco
    This document is a certification of related learning experience from the NMI Board of Nursing. It requests information including the name, college or university attended, degree obtained, and date of graduation of the applicant. It then asks for a breakdown of the applicant's clinical nursing practice experience in hours and weeks for various subject areas, including medical, surgical, pediatric, obstetric, psychiatric nursing and pharmacology. The certification must be signed and dated by the registrar or dean of the applicant's college or university and have the official seal affixed.

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    © All Rights Reserved
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    NMI BOARD OF NURSING

    P. O. Box 501458, CK
    Saipan, MP 96950
    Telephone: (670) 233-2263 / (670)234-2264
    Email: contact@nmibon.info

    CERTIFICATION OF RELATED LEARNING EXPERIENCE

    NAME: ________________________________________________________________

    NAME OF COLLEGE
    OR UNIVERSITY ATTENDED: ______________________________________________

    DEGREE OBTAINED: _____________________________________________________

    DATE OF GRADUATION: __________________________________________________

    BREAKDOWN OF CLINICAL NURSING PRACTICE EXPERIENCE, AS


    STIPULATED IN NURSING COURSES:

    TOTAL CLINICAL PRACTICE


    EXPERIENCE
    SUBJECT AREA (show in hours & weeks)

    MEDICAL NURSING

    SURGICAL NURSING

    PEDIATRIC NURSING

    OBSTETRIC NURSING

    PSYCHIATRIC NURSING

    Doc. 24 - revised 07.27.21


    PHARMACOLOGY

    Certified By: _________________________________


    Registrar or Dean of College of University
    (Affix Official Seal Here)
    Date: _______________________________________

    Doc. 24 - revised 07.27.21

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