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Approver Accreditation Application/ Demographic ...

Approver Accreditation Application/ Demographic information FormAMERICAN NURSES CREDENTIALING CENTERName of Applicant (Name on plaque, website, and Accreditation statement)Web AddressStreet Address ( Boxes not accepted)CityState Zip/Postal CountryIf applicant is part of a larger organization, provide name of organizationIdentify Organization Type: Requested Review Cycle: Section 1: Demographic InformationOrganizations interested in submitting an application for Accreditation or reapplying to maintain Accreditation as an Approvermust complete the Approver Accreditation Application/ Demographic information Form.

Demographic Information Form AMERICAN NURSES CREDENTIALING CENTER Name of Applicant (Name on plaque, website, and accreditation statement) Web Address ... (Note: Applicants outside the U.S., please contact the Accreditation Program Office at Accreditation@ana.org)

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