ONC Reactivation

Fieldset

Name *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone Number *
Email Address *
Date of Expiration of Last Certification Cycle (must be within past 2 years) *
I meet the requirements for reactivation and have enclosed the required documentation: 1. Copy of continuing education certificates must be attached to verify completion of required contact hours of continuing education since expiration of certification.  15 contact hours in orthopaedics – up to one year after expiration of credential  30 contact hours in orthopaedics – 1-2 years after expiration of credential 2. Statement of my plan for professional development over the next 5 years (term of certification). This includes any academic course work as well as anticipated attendance at major conferences. The statement also identifies the role certification plays in my professional life and includes my answer to the question, “Why do you want to reactivate your orthopaedic nursing certification?” Statement should be at least 250 words in length. 3. Copy of current RN license (with expiration date) 4. Copy of current NAON, AANP, or NOVA card (if applicable)
Requirements agreement *
I verify that I have practiced at least 1000 hours in the past 2 years (or 500 hours in past year if certification expired within 1 year) if applying for ONC® reactivation.
Reactivation Acknowledgement *
I understand the reactivation option for my certification can be used only once.
Professional Development Statement *
Copy of RN License *
Copy of Current NAON, AANP, or NOVA Card (if applicable)
Continuing Education
Once you have submitted this form, ONCB staff will be in touch with payment information for this application.

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ONC Reactivation

Fieldset

Verification

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