Scannable Application Form

Printing the Scannable Application Form – a PDF File

FOLLOWING THESE INSTRUCTIONS IS EXTREMELY IMPORTANT!  IF THEY ARE NOT FOLLOWED EXACTLY, IT IS LIKELY THAT YOUR APPLICATION WILL BE RETURNED TO YOU, DELAYING THE ENTIRE APPLICATION PROCESS.

1 – You must have Adobe 8.0 Adobe PDF reader

To download the scannable application form which is a PDF file, you MUST have the 8.0 or greater version of the Adobe PDF reader.  The 8.0 version of Adobe will automatically default your printing options Page Scaling to “NONE” so please don’t override the printing option or rotate the page because your application will not scan. 

If you don’t have the 8.0 Adobe PDF reader you may request a paper application and handbook be mailed to you by calling 1-800-6ABPANC or email abpanc@proexam.org. Please keep in mind the applicable deadlines for application submission and allow enough time for mailing if you chose to receive a paper application.

2 –Determine color of application you will need – color or black and white

Two versions of the Scannable Application Form PDF are available – one for printing in black and white; the other for printing in color, depending on the type of printer you have.

3 – Print application only after reading ALL of these instructions carefully.

The 8.0 or greater version of Adobe will automatically default your printing options for Page Scaling to “NONE” so please do not override the printing option or rotate the page because your application will not scan properly. 

4 – Complete the scannable form

Once you have printed the scannable application form, please follow the instructions found on the first page of the scannable application. It is your responsibility to follow these instructions for completing the scannable form. Failure to follow these instructions properly will result in your application being rejected and returned to you. It is your responsibility to make sure your application is complete and postmarked by the deadline specified in the Candidate Handbook and Application.

Do Not Forget!   Along with the scannable application form, you must also submit the following:

• Verification of Nursing Practice and RN Licensure Form
• Fee
• Copy of ASPAN membership card if seeking a member discount on the fee

Please note:  Professional Examination Service and ABPANC look forward to receiving your application to sit for a CPAN or CAPA examination postmarked no later than the published deadline. Please do not alter the application form in any way. Do not make any stray marks, hole punches, staple holes, etc. on the application. Do not use colored paper. Submitting incomplete application materials or a scannable application form that has been improperly altered and/or has not been correctly printed could result in not being able to process your application in time for you to sit for the examination.

5 – To print the scannable application form - click the link below for the appropriate color.

Black and white version (pdf)

Color version (pdf)

Please note:  On the Scannable Form question 3B requires that you bubble in the month of the exam for which you are registering - either April or November.  Given that the Spring 2008 exams are being given in May, please bubble in April since May is not an option.