Navigator Certification Application

CONTACT INFORMATION
Name*
First Last
Professional Credentials, Certifications, Licensing*
Professional Title
Facility Name
Facility Department
Facility Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Work Phone
Cell Phone*
Work Email
Personal Email
Email Preference
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How did you hear about the NCBC Navigator Certification?
- bpnc.org
- mailer
- breastcare.org
- CoC_newsletter
- NCBC_newsletter
- Colleague
- Google Search
LOCATION

Online Exam through NCBC Moodle school platform and Proctored by Examity
Choose Your Exam Date Window*
- On-Line June 1st through June 30th, 2021
- On-Line September 1st through September 30th, 2021
In-Person March 15th or 16th, 2022
On-Line March 21st through April 21st, 2022
Questions:
574-401-8113
Certifications Manager
Aerial Gilbert Aerial@breastcare.org

CERTIFICATION PROGRAM CRITERIA FOR APPLICATION CONSIDERATION
APPLYING FOR CERTIFICATION IN
- Imaging(I)
- Management/
- Social_Work(M)
- Advocate(A)
- Clinical(C)
- Provider(P)
- Registered_Nurse(N)
DESCRIPTIONS OF AVAILABLE CERTIFICATIONS
CN-BI = Diagnostic Imaging/Treatment Techs (All technologists from diagnostics to treatments)
CN-BM = Management/Social Worker (All social workers and managers of navigators)
CN-BA = Advocate (All volunteers/lay navigators)
CN-BC = Clinical (All certified medical assistants, technicians, licensed practical/vocational nurses)
CN-BP = Provider (All breast care diagnosticians, nurse practitioners, physicians, physician assts, breast care PhDs)
CN-BN = RN (All registered nurses from breast care, diagnostic imaging, treatment, survivorship, genetics)
*PROOF OF LICENURE IS REQUIRED EXCEPT FOR ADVOCATES
CHOOSE ONE
- Breast specific navigation is at least 25% (500 hours) of my job responsibility.
- I supervise breast patient navigators.
I have six months or more experience navigating breast patients or 3 months of experience and a certificate of attendance at a Breast Patient Navigator training.*
- check box
Length of time I have been navigating patients.
NCBC NAVIGATOR PROGRAM UNDERSTANDING AGREEMENT

I understand that this is a Certification, where my skills and knowledge as a Breast Patient Navigator will be validated by obtaining a minimum score of 81% on the examination to be certified as a Breast Patient Navigator. I have read and understand the NCBC Certification Exam Security & Test Policies protocol (CLICK HERE FOR DOCUMENT). I further understand this is a certification and not an educational course. Handbook will be sent via e-mail if registered at least 10 days prior to certification exam date.

Once you have received the handbook the registration fee becomes non-refundable.
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DATE
Date Format: MM slash DD slash YYYY
Navigator Certification Application
Price: $295.00
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Price: $0.00
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$0.00
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Navigator Certification Application

CONTACT INFORMATION

LOCATION

CERTIFICATION PROGRAM CRITERIA FOR APPLICATION CONSIDERATION

NCBC NAVIGATOR PROGRAM UNDERSTANDING AGREEMENT

BPNC Certification