ACNS 23rd Annual In-Service Examination Registration Form

February 22 - March 1, 2022

TRAINING PROGRAM, DIRECTOR INFORMATION
The Director listed below will receive exam-related information, including copies of registration confirmations, proctor codes, and exam scores to the email address provided below.













Please indicate the name and email address of any individual who should receive copies of registration confirmation emails only. Proctor codes and exam scores will be provided only to the Director listed above:







EXAMINEE INFORMATION
Exam fees are based on the examinee’s ACNS member status. Program Director’s ACNS member status has no effect on exam fees. Please confirm examinee email addresses, as all exam-related information will be distributed via email to the addresses provided below.













































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PAYMENT TYPE

      

I acknowledge that ACNS will verify examinee membership status and will adjust the registration fees accordingly.



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