CCP Audit Questionnaire

In this audit, the College will be verifying learning actives completed between November 1, 2016 to October 31, 2017 (2017 licensing year).

I received paper copies. Do in need to submit both the paper forms and the online form?
No, you can choose to submit either one (but not both). Online submission was developed to make this process easier for you.

Can I submit my learning plan or CLPNNS Certificate of Completion online as well?
Yes. Visit the CCP Audit Portal. You will need the password sent to you in your notification of selection.

Can I submit the Record of Professional Learning (RPL) form online?
Yes. Visit the CCP Audit Portal. You will need the password sent to you in your notification of selection.

What if I still have some questions?
Call Jylene Simmons, Professional Practice Consultant at 902.423.8517 (ext. 4) or toll free in NS 1.800.718.8517 (ext. 4) . You can also e-mail PracticeConsultant@clpnns.ca. Call or email early, do not wait until the last minute. More CCP resources can be found at http://clpnns.ca/ccp/.

Directions: Read the questions below in green. Answer either YES or NO by checking the corresponding box. Follow the instruction prompts.

Employment

I worked less than 320 hours last licensing year due to medical/family leave.

    Yes - STOP: You may be exempt from the CCP Audit this year. Before going any further, please contact Jylene Simmons, Professional Practice Consultant at (902) 423-8517, option 4 (toll Free in Nova Scotia: 1-800-718-8517, option 4).
    (Exemption from this year does not guarantee you are exempt from the audit next year.)

No - Continue to next section.

Graduate Exclusion

I graduated from a PN program (core-re-entry) or passed the CPNRE in the last 6 months.

    Yes - STOP: You may be exempt from the CCP Audit this year. Before going any further, please contact Jylene Simmons, Professional Practice Consultant at (902) 423-8517, option 4 (toll Free in Nova Scotia: 1-800-718-8517, option 4).
    (Exemption from this year does not guarantee you are exempt from the audit next year.)

No - Continue to next section.

Declaration and Signature

My electronic signature indicates the above information is accurate and true. I understand this information is reviewed by CLPNNS staff or designates and incomplete forms may be returned to me resulting in a delay in this time sensitive process and this questionnaire may be kept on file as confirmation of my participation in the CCP audit and I may be required, pursuant to the current LPN Act and Regulations, to perform additional self-assessments and/or complete and submit verification of additional learning at my own expense to meet the Continuing Competence Program requirements.

Required fields indicated by an asterisk (*).

Name*:

Registration #*:

Email Address*:

Electronic signature*:
Yes* I verify that I am the CLPNNS member stated above and confirm that this counts as my electronic signature

captcha Please type the characters and/or digits you see in the box below.

Once you have submitted the questionnaire, you can log into the CCP Audit Portal to enter the required documents.