Celebrate Certified Nurses

Your Name: *
Hospital or Chapter: *
Hospital Unit:
City and State of Photo: *
Your Email: *
Your Phone #: *
Check if we have your permission to publish your photo on AACN Certification Corporation website.


  1. Please describe the name of the event, date, location and purpose (i.e., Hospital luncheon for certified nurses, February 2011). Use a maximum of 125 words. Is this the first or an annual event? Is it for CCRNs, PCCNs, etc., or for all certified nurses in the hospital?
  2. List the names of the people in the photo(s), if available.
  3. Attach your digital photo(s) here:

    Photo 1: 
    Photo 2: 
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