Obtaining CNA Certification

Employer Acknowledgment Letter Request

Congratulations on achieving CNA certification/certification renewal in your nursing specialty! On your behalf, we would be pleased to send a letter to your employer announcing your achievement.

• Your acknowledgment letter must be addressed to a specific person.
• The maximum number of employer letters per candidate is two.
• Forms must be submitted to CNA no later than August 29, 2009.
• Please allow up to 6 weeks for the processing of the letter.

Please provide and submit the following information:

First Name:
Last Name:
Nursing specialty:	Cardiovascular Nursing Community Health Nursing Critical Care Nursing Critical Care Pediatric Nursing Emergency Nursing Enterostomal Therapy Nursing Gastroenterology Nursing Gerontology Nursing Hospice Palliative Care Nursing Nephrology Nursing Neuroscience Nursing Occupational Health Nursing Oncology Nursing Orthopaedic Nursing Perinatal Nursing Perioperative Nursing Psychiatric/Mental Health Nursing Rehabilitation Nursing
Certification ID:
Choose one:	Initial Certification Certification Renewal
E-mail address:
Telephone:
Employer #1
First name of addressee:
Last name of addressee:
Addressee’s title/position:
Organization:
Organization address 1:
Organization address 2:
Organization city:
Organization province:
Organization postal code:
Language:	English French
Employer #2
First name of addressee:
Last name of addressee:
Addressee’s title/position:
Organization:
Organization address 1:
Organization address 2:
Organization city:
Organization province:
Organization postal code:
Language:	English French