2025 Nominations Application

To be considered for nomination, please complete and submit this online form. Only online applications can be accepted. Note that all fields are mandatory. We recommend you have all materials ready before you begin this form, because partially completed applications cannot be saved on this Web site.

You will need to supply the following items with the application:

  • your photo
  • your resume (CV)
  • two recommendation letters, (one from an employer and one from a colleague)

These can either be uploaded to the online application, or sent via Fax or email to WOCNCB. Fax: (414) 276-2146 Email: info@wocncb.org

If you need assistance with this form, please contact the WOCNCB Office at 888-496-2622 or info@wocncb.org.

Nomination Application















(if you can scan and save reference letters as a file on your computer, click Browse and attach here. If you cannot, we will accept them via email or fax.)

#1 Employer Reference



#2 Colleague Reference



Attach your Resume (CV)

(if you have the resume saved as a file on your computer, click Browse and attach here. If you do not, we will accept via email or fax.)


Attach a current color photograph

(if you have the photo saved as a file on your computer, click Browse and attach here. If you do not, please mail to WOCNCB.)





Once you submit your nomination, a confirmation will be sent to you via e-mail. Your nomination will be reviewed and considered by the Nominations Committee. If your application is accepted for the ballot, we will notify you by July 31st.

The Value of Certification Nurses
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