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

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Work Email

Personal Email

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How did you hear about the NCBC Navigator Certification?

LOCATION

Online Exam through NCBC Moodle school platform and Proctored by Examity

Choose Your Exam Date Window*

Online Exam - May 1st - May 31st, 2022
Online Exam - September 1st - September 30th, 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

Navigator Certification Application

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Navigator Certification Application

CONTACT INFORMATION

LOCATION

CERTIFICATION PROGRAM CRITERIA FOR APPLICATION CONSIDERATION

NCBC NAVIGATOR PROGRAM UNDERSTANDING AGREEMENT

BPNC Certification