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The NCSA is a worldwide association dedicated to the professional Newborn Care Specialist.
Certification Requirements
To become certified by the NCSA, you must fulfill certain requirements.
Certification Application
Certification through NCSA will signify you're highly skilled, appropriately educated and uphold a respected level of professionalism.
Advocacy
Help and Advise for the Certified Newborn Care Specialist Available here
NCSA Application Form
NEWBORN CARE SPECIALIST CERTIFICATION APPLICATION

General Information

1. Type in your answers in black.
2. Attach a copy of your resume (including all jobs worked, dates and short job description).
3. Fill out all required fields in this form.
4. Verify that all information is correct before submitting the form
5. If field does not apply, please put 'Not Applicable' or 'N/A'. All fields must be filled in.
Date

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Name *

First
Last
Address

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Email *
Main Phone Number *

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Alternate Phone Number

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Did you take an NCSA Approved Course & Instructor? *
 Yes 
 No 
Instructor's Name or School
Date of Completion

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What information you would like on the NCSA website (email or website address)
In the past two years I have completed between 1800 - 2500 hours Newborn Care experience (newborn – 3 months old) You must be able to prove these hours (Basic Certification) *
 Yes 
 No 
I have over 2500 hours and over 2 years Newborn Care experience (newborn – 3 months old). You must be able to prove these hours. (Advance Certification) *
 Yes 
 No 
Please check "I am a new or a renewing member of NCSA" *
 New 
 Renewing 
Are you CURRENT on your infant/child CPR certification? *
 Yes 
 No 
If Yes, please provide an Expiration Date for your certification
Date

MM 		/
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Optional- Additional Certifications if any: First Aid, Doula, Lactation Consultant, Midwife, Dr., RN, LPN, CNA etc)
Please list recommended and required books you have read and other education that will pertain to caring for infants

Professional References

Please include 2 professional childcare references who would attest to your character
Name *

First
Last
Phone Number *

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Relationship *
Years Known *
Name *

First
Last
Phone Number *

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Relationship *
Years Known *

Criminal History

A description of the section goes here.
Have you ever been convicted of a crime? *
 Yes 
 No 
( A conviction will not necessarily disqualify an applicant from employment.) (For purposes of this question, "convicted" includes a plea of guilty, nolo contendre, no contest, or similar plea, participation in a pre-trial diversion or deferred entry of judgment program even if the program was completed and charges were dismissed, bail forfeiture, or verdict or finding of guilt.). If "Yes," please explain:
Explanation
I have forwarded a background check to the NCSA *
 Yes 
 No 

Schooling Information

Education
High School (Dates Attended) *
High School Institution *
High School City *
High School State *
High School (Last Grade Completed) *
College (Dates Attended) *
College Institution *
College City *
College State *
College (Last Grade Completed) *
College (Area of Study) *
College Degree *
Trade School (Dates Attended)
Trade School Institution
Trade School City
Trade School State
Trade School (Last Grade Completed)
Trade School (Area of Study)
Trade School Degree
Other Courses
Are you a Registered Nurse (RN)? *
 Yes 
 No 
Are you a Licensed Practical Nurse (LPN)? *
 Yes 
 No 
Have you taken any Baby Nurse classes? *
 Yes 
 No 
If so, where?

Self Evaluation Form

After you have completed your internship or if you are experienced, please use the following form to evaluate where you stand on Newborn Care issues.

This will give us an idea of how we can best be of service to you and where we need to improve the classes and teaching. This will not affect your certification. This is for our information.

Please read through each item and take a moment to put yourself in that situation to give yourself as well as us an honest evaluation. We expect to see a range of numbers in your responses, and answering with low numbers does not keep you from getting certified.

Evaluate your confidence level with each statement with a number between1 and 10. 1 being you do not feel you understand the subject or technique and 10 being you are completely confident in your knowledge and ability on that subject.
I feel confident in how to swaddle a baby *
I know 4 different diaper rashes and how to treat each *
I understand my role as a NCS and how that differs from a Nanny or a Doula role *
I know how to hold, feed and diaper a newborn *
I know how to figure out how much a baby should be eating daily *
I know how to tell if a baby is under eating *
I know 3 effective ways to burp a baby *
I know how to teach a baby to self soothe *
I have a firm conviction and love for the proper care of a newborn *
I know what RSV is and how to prevent it *
I know what SIDS is and how to prevent it *
I would be able to help a mom who was breast feeding *
I know the difference between Colic and Reflux *
I would be able to show a mom different positions to breast feed *
I understand the breast milk storage guidelines *
I understand how to warm up formula and breast milk *
I know the signs of PPD *
I would be confident in telling a Mother what to do if I saw some signs of PPD *
I would be able to care for a baby with a circumcised penis *
I know 3 ways to sleep train a baby *
I know how to stretch a baby from 3 to 4 hour feeds *
I know how to instruct a mother of multiples in structuring her day and multiple care *
I know how to bath a baby without the baby crying *
I would be comfortable in educating a Mom on newborn issues *
I know other NCS's I could call for support *
I am comfortable discussing my salary with a prospective client *
I have compiled a list of resources that can be used by my clients *
I understand the code of ethics as stated in the NCSA code *
I will abide by the standards set by the NCSA code *
I understand the importance of a contract *
I understand the importance of being professional and what it means to not be too personal *

Code of Ethics

Because the care of the newborn is critically important to the families, we have strong obligations to be trustworthy, provide high quality education, protect the client's privacy and adhere to a standard of practice higher than is expect of other caregivers. We agree to:

1.Provide the highest level of service that is appropriate and useful for each of our clients, always being courteous, respectful, unbiased and professional.

2. Acknowledge the importance of the educating the parents and encouraging them in the development and uniqueness of their newborn.

3. To provide the parents with industry – standard information and resources with the goal of equipping them for future references.

4. To build partnerships with each other, based on mutual trust and respect and to acknowledge the rights and dignity of our colleagues and any other professional unit.

5. To always take care to speak only the truth in any given situation.

6. Not allow our personal beliefs or convictions to interfere with fair representation of information or resources.

7. To strive to expand our own knowledge but using continuing education along with maintaining and enhancing our skills.

8. To remember ours is a service oriented industry and to continue to provide quality care to our newborns and their families.

9. To cooperatively work with parents and deliver the kind of service promised to them.

10. To certify only qualified NCS's who are dedicated to the health and welfare of the newborn and their families.

I am willing to follow this Code of Ethic as set forth by the NSCA and I VERIFY THAT ALL THE INFORMATION I HAVE GIVEN ON THIS APPLICATION TO BE TRUE.

I understand that typing my name in is as legally binding as writing it in.
Your Signature:
Date

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