Self-Study Forms & Directions

Starting Your Self-Study

Self-study refers to the process of program self-assessment and the document the program writes to report on the process and outcomes of its self-assessment.  A self-study submitted to the JRCNMT for initial or continued accreditation must contain specific forms and documents and follow a structured format. Refer to the instructions below for details. All the necessary forms are provided below.

Instructions & Supporting Documents

Please read this document carefully before preparing the self-study document.
     Self-Study Instructions

Program Section of the Self-Study

   Data Form
   Authorization for Site Visit

   Standard A Narratives
     Appendix Form:
     Form A: Sharing Agreement Review (Std A3.5)

   Standard B Narratives
     Appendix Forms:
     Form B: ELIMINATED May 2020  
     Form C: Resume' Form (Std B)
     Form D: NMT Program Faculty (Std B2.3)
     Form E: Student Capacity (Std B4.2)

   Standard C Narratives
     Appendix Forms:
     Form F: General Education & Basic Science Coursework (Std C3)
     Form G: Professional Didactic Curriculum (Std C4)
     Form H: Additional Graduate Didactic Content (Std C4)
     Form I: Competency Confirmation (Std C7)

   Standard D Narratives
     Appendix Forms:
     Form J: Assessment of Program Student Learning Outcomes (Std D1-2)
     Form K: Methods and Frequency of Student Evaluation (Std D2.3)
     Form L: Program Effectiveness Data (Std D3.1)  

   Standard E Narratives
     Appendix Forms - NONE

Affiliate Section of Self-Study

     Academic Affiliate Summary Form
     Clinical Affiliate Summary Form
     Form CL-A Equipment
     Form CL-B Procedures
     Form CL-C Staff
     Form CL-D Capacity
     Form CL-E Sharing Agreement (if applicable)
     Clinical Affiliate Narratives (only required for new facilities)
     Academic Affiliate Narratives (only required for new facilities)

Program Checklist for Self-Study

A complete self-study must include a checklist for the program files within the document. The program must identify the page number for all items on the checklist. The checklist aids the program in ensuring all required items are included in the self-study and is used by the review team and site evaluators for note-taking as they assess the self-study.

Program Checklist

For full functionality of the forms downloaded from this page you must have the latest version of Adobe Acrobat Reader.  This software is free and can be downloaded from the Adobe website by clicking on the link provided. For the ability to merge documents of any format into a single PDF file, which is necessary for self-study creation, the full version of Adobe Acrobat is necessary.

Get Adobe Reader