Volunteer with PNCB! Survey

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.

1.Please provide your contact information:(Required.)

Full Name

State/Province

Preferred Email Address

Preferred Phone Number

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

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

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.(Required.)

Yes

No

If no - please describe your current practice details

6.Have you volunteered for PNCB in the past?(Required.)

No

Yes

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

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

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)