CNO Exam Candidate Information Form

Please complete the survey with your personal information. Once you have completed the Practical Nursing program, your information will be sent to the CNO so you can register for your exam.

If you receive a job offer and require a temporary license, please send the information to kim.sharpe@durhamcollege.ca and your information will be sent after your request is received.

For questions about this form or if you require an alternate format, please contact kim.sharpe@durhamcollege.ca.
Name*
First Last
Email*
Telephone Number*
Gender*
- Man
- Woman
- Non-binary
Date of Birth*
Year
Month
Day
Address*
Street Address Address Line 2 City Province Postal Code
Notice of Collection: In accordance with Section 39(2) of the Freedom of Information and Protection of Privacy Act, 1990, the personal information collected on this form is collected under the legal authority of the Ontario Colleges of Applied Arts and Technology Act, 2002 and may be used and/or disclosed to the CNO to verify course completion and facilitate the writing of your registration exam. Your personal information may also be used for various administrative, statistical and/or research purposes of the College and/or ministries and agencies of the Government of Ontario and the Government of Canada. If you have any questions about the collection, use and disclosure of your personal information by the College, please contact the Freedom of Information and Protection of Privacy Coordinator, 2000 Simcoe Street North, Oshawa, ON, L1G 0C5, 905.721.2000 ext. 3292
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