Demo Application

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All candidates must sign the Candidate Application Statement and agree to all policies, procedures, and terms and conditions of certification in order to be eligible for the VA-BC credential. The statement follows:

I have read the current Clinical Practice Requirements and attest that I meet these requirements.

I understand that I and the information I have provided could be audited to verify my eligibility. I understand my certification can be delayed until eligibility is verified. I authorize the Vascular Access Certification Board to make whatever inquiries and investigations that it deems necessary to verify my credentials and professional standing.

I understand that submission of false or misleading information to VACC or any cheating by me at any time may be cause for withdrawal or revocation of this application without refund of any fees paid, loss of credential (if currently held), cancellation of scores, or denial of eligibility as a candidate to take the exam.

I hereby apply for the Vascular Access-Board Certified (VA-BC) credential. I understand that my certification depends on my ability to meet all requirements and qualifications. I certify that the information contained in this application is true, complete, and correct to the best of my knowledge and is made in good faith. I further understand that, if any information is later determined to be false or misleading, or if I have been determined to have cheated in any way, VACC reserves the right to revoke any certification that has been granted on the basis thereof or impose discipline at its discretion. Further, I agree to abide by all VACC policies and procedures, including but not limited to the VACC Code of Ethics and Disciplinary policies and actions.

I hereby release, discharge, indemnify, hold harmless, and exonerate VACC, its directors, officers, members, examiners, representatives, affiliates, employees, and agents, from any actions, suits, obligations, damages, claims or demands arising out of, or in connection with, any aspect of the application process including results or any other decision that may result in a decision to not issue me a certificate.

I further understand, acknowledge and agree:

1. That the questions and answers of the exam are the exclusive, confidential, proprietary, valuable, copyrighted property of VACC and are protected by the United States Copyright Act and other applicable laws.
2. That I may not disclose the exam questions or answers, in whole or in part, or discuss any content of the exam with any person or in any respect, in any form or media, without prior written approval of VACC, and that I must report to the proctor or to authorized VACC personnel any instances where any other person appears to be violating this nondisclosure rule or to have been cheating in any way.
3. Not to remove from the examination room any exam materials of any kind provided to me or any other material related to the exam, including any notes or calculations.
4. Not to copy or attempt to make copies (written, photocopied or otherwise) of any exam material, any exam questions or answers, or any notes or calculations.
5. Not to sell, license, distribute, give away, or obtain from any other source other than VACC the exam materials, questions or answers.
6. That my obligations in accordance with VACC's requirements shall continue in effect after the examination and, if applicable, after termination of my certification, regardless of the reason or reasons for termination, and whether such termination is voluntary or involuntary.
7. That any and all uses of the VA-BC credential must be consistent with applicable VACC policies and procedures and that unauthorized use or misuse in any way will constitute grounds for disciplinary action, including but not limited to revocation of my credential, legal action, or other action by VACC to protect its valuable intellectual property.

I attest that I have reviewed and understand this Handbook and agree to the statements above and to abide by all policies and procedures, including the confidentiality and disciplinary rules, of the Vascular Access Certification Board. I agree that I am subject to the disciplinary policies and procedures of VACC,