INSTRUCTIONS This is the Initial Application form for the Certified Occupational Health Nurse (COHN) and the Certified Occupational Health Nurse - Specialist (COHN-S) examination. Please download the COHN or COHN-S handbook for detailed information. Please note: ALL FEES ARE NON-REFUNDABLE. All information provided on this application will be treated with strict confidence. It is the policy of ABOHN that no individual shall be excluded from the opportunity to participate in the ABOHN examination program on the basis of race, national origin, religion, gender, age or disability. Completion of this form requires supporting documents. You may upload these documents directly with your application and payment, or may scan/email to info@abohn.org or fax to 630-789-8901. The supporting information required is: Copy of current non-restrictive RN license with expiration date Job description(s) Copy of degree or transcripts (COHN-S only) After you complete this form, you will be directed to an online payment portal. Applications will not be accepted or processed until payment and supporting documentation is received at the ABOHN office. Next Page >
