Volunteer with PNCB!

Thank you for your interest in volunteering with PNCB! Your responses will help us update our interest list in the database for future calls for applications.

Selection Criteria: Please note that some invitations to volunteer are based on practice role, practice hours per week, and geographic location, among other criteria.

Confidentiality/Conflict of Interest: Certain volunteer roles must sign a confidentiality agreement (e.g., when working with secure content) and attest to no conflicts of interest (e.g. cannot participate with, or contribute towards, a review book or course which prepares students for a PNCB exam).

Questions? If you have specific questions about PNCB volunteer criteria, please email volunteer@pncb.org.

Question Title

* 1. Please provide your contact information:

Full Name

State/Province

Preferred Email Address

Preferred Phone Number

Question Title

* 2. Which PNCB credential(s) do you actively hold? Mark all that apply:

CPN: Certified Pediatric Nurse

CPNP-AC: Acute Care Certified Pediatric Nurse Practitioner

CPNP-PC: Primary Care Certified Pediatric Nurse Practitioner

PMHS: Pediatric Primary Care Mental Health Specialist

None of the above

Question Title

* 3. Do you work an average of 20 hours per week in direct “hands-on” care of patients or have oversight of students in clinical settings, relevant to your PNCB certification? Note that direct care is required for some, but not all, opportunities.

Yes

If no - please describe your current practice details

Question Title

* 4. What is your gender?

Male

Female

Non-binary

Prefer not to disclose

Other (please specify)

Question Title

* 5. I describe myself as:

African American

Afro-Latino

Alaskan Native

Asian

Black

Hispanic or Latino

Indian/Pakistani

Middle Eastern or North African

Multiracial

Native American/Indigenous

Native Hawaiian

Other Pacific Islander

White

Prefer not to answer

Afro-Latino

Other (please specify)

Question Title

* 6. Have you volunteered for PNCB in the past?

Yes

Question Title

* 7. If yes, please indicate your past or present PNCB volunteer service. Mark all that apply.

CE modules pilot testing

Survey pilot testing

Practice Test modules pilot testing

On-going Committee (Exams, Pediatric Updates, Form Review)

Special Exam Committee (Job Task Analysis, Standard Setting)

Item Writer (attended a workshop and/or completed an annual assignment)

CPN Champion

Institute of Pediatric Nursing

Board of Directors

Focus Groups

Special Task Forces (Continuing Competence)

Other (please describe)

Question Title

* 8. Which opportunities interest you? Mark all that apply:

For specific details on Item Writing, click here to see a job description.

Pilot testing CE or other modules

Pilot testing Practice Tests (resource offerings for exam candidates)

Pilot testing surveys

Item Writing (if selected, requires confidentiality and conflict of interest forms)

Participating in focus groups (may require signed confidentiality and conflict of interest forms)

Volunteer with PNCB!

Question Title

* 1. Please provide your contact information:

Question Title

* 2. Which PNCB credential(s) do you actively hold? Mark all that apply:

Question Title

* 3. Do you work an average of 20 hours per week in direct “hands-on” care of patients or have oversight of students in clinical settings, relevant to your PNCB certification? Note that direct care is required for some, but not all, opportunities.

Question Title

* 4. What is your gender?

Question Title

* 5. I describe myself as:

Question Title

* 6. Have you volunteered for PNCB in the past?

Question Title

* 7. If yes, please indicate your past or present PNCB volunteer service. Mark all that apply.

Question Title

* 8. Which opportunities interest you? Mark all that apply:For specific details on Item Writing, click here to see a job description.

* 8. Which opportunities interest you? Mark all that apply:

For specific details on Item Writing, click here to see a job description.