Terms of Use

Updated May 2023


Table of Contents

Please double-click the link to skip to a section below

  1. Accessing the Site
  2. Your Use of the Site
  3. Permitted Uses
  4. Use of the Verification Page
  5. Your Communications to the Site
  6. Official Uses by Regulators
  7. Electronic Communications
  8. Monitoring and Enforcement; Termination
  9. Reliance on Information Posted
  10. Linking Policy
    1. Links to the Site
    2. Links from the Site
    3. Removal of Links
  11. Trademark and Copyright
  12. Examination Content
  13. Requests to Use CCI Intellectual Property
  14. CCI Logo Use
  15. Media Resources
  16. Acceptable Signatures
  17. Federal and State Laws
  18. Disclaimer of Warranties
  19. Limitation of Liability
  20. Indemnification
  21. Copyright Claims
  22. Miscellaneous Provisions
    1. Arbitration
    2. Waiver of Right to Jury; Class Action Waiver
    3. Governing Law and Venue
    4. Severability
    5. Updates and Privacy
    6. Headings
  23. How to Contact Us


The website www.cc-institute.org (“Site”) is owned and operated by the Competency & Credentialing Institute (“CCI”). The Site provides information about CCI’s programs and services, including CCI’s certifications (the “Services”).

These terms of use (“Terms”) constitute a binding agreement between you and CCI with respect to your use of the Site. Please read carefully through all sections of these Terms. References to “CCI” also include CCI’s officers, directors, employees, agents, affiliates, licensees, representatives, and service providers with regard to liability limitations expressed in these Terms. Your access to and use of the Site is subject to both these Terms and all applicable laws, and CCI reserves the right to terminate your access to the Site if you violate either these Terms or any applicable laws. Clicking on links within the Site or webpages beyond the Site’s homepage constitutes your acceptance of and agreement with these Terms. If you do not agree with these Terms, do not access or otherwise use the Site, any services available through this Site, or any information contained on this Site.


1.  Accessing the Site

CCI reserves the right to withdraw or amend this Site and any Services or Materials (defined below) CCI provides on the Site, in CCI’s sole discretion, without notice. CCI will not be liable if, for any reason, all or any part of the Site is unavailable at any time or for any period. From time to time, in CCI’s sole discretion and without notice, CCI may restrict access to some parts of the Site or the entire Site to users, including registered account users.

You are responsible for both:

  • Making all arrangements necessary for you to have access to the Site; and
  • Ensuring that all persons who access the Site through your Internet connection are aware of these Terms and comply with them.


To access the Site or some of the resources and content it offers, you may be asked to provide certain details or other information, such as your login information, to access your account. For identity verification purposes, CCI may also request that you confirm information you provided in your initial or recertification application. It is a condition of your use of the Site that all the information you provide on the Site is correct, current, and complete.

If you choose, or are provided with, a username, password, or any other piece of information as part of CCI’s security procedures, you must treat such information as confidential, and you must not disclose it to any other person or entity. You also acknowledge that your account is personal to you and agree not to provide any other person with access to this Site or portions of it using your username, password, or other security information. You agree to notify CCI immediately of any unauthorized access to or use of your username or password or any other breach of security. You also agree to ensure that you exit from your account at the end of each session. You should use particular caution when accessing your account from a public or shared computer so that others are not able to view or record your password or other personal information.

CCI may disable any username, password, or other identifier, whether chosen by you or provided by CCI, at any time in CCI’s sole discretion for any reason, including if, in CCI’s opinion, you have violated any provision of these Terms or such action is necessary to address a security risk to CCI.

CCI cannot guarantee this Site will be available 100% of the time. Interruptions and delays in accessing this Site may occur, and CCI disclaims any liability for damages resulting from such interruptions.

Occasionally, information on this Site may contain technical inaccuracies or typographical errors. CCI attempts to make this Site’s postings as accurate as possible, but CCI does not warrant the content of this Site.


2. Your Use of the Site

CCI provides content through the Site that is copyrighted and/or trademarked work of CCI or CCI’s third-party licensors and vendors (collectively, the “Materials”). Materials may include logos, graphics, videos, images, software, documents, and other content.

You may not use the Materials in any manner or for any purpose that would constitute infringement of the intellectual property rights of CCI, CCI’s licensors, or the Site’s other users.

Subject to these Terms, CCI hereby grants you a limited, non-commercial, non-exclusive, and non-transferable license to use, view, print, display, and download the Materials for the sole purpose of viewing them on a standalone personal computer or mobile device. Except for the foregoing license, you have no other rights in the Site or any Materials, and you may not modify, edit, copy, reproduce, create derivative works of, reverse engineer, alter, enhance, or in any way exploit any of the Site or Materials in any manner.

If you breach any of these Terms, the above license will terminate automatically, and you must immediately destroy any Materials that you downloaded or printed from this Site.

In your use of the site, you may be required to comply with CCI processes for processing an application (e.g., certification, recertification, appeal). Those processes may require communication and responses from you, and related parties (e.g., university, supervisor), such as:

  • Submission of information necessary to process your application (e.g., degree, coursework, experience, continuing education)
  • Payment of application fee(s)
  • Using CCI-required communication channels (e.g., Contact Us and/or other online forms)


CCI will typically only communicate with applicants, candidates, and certificants using the email address on record with CCI. CCI reserves the right to revise the processes for submission and/or communication at the discretion of CCI, as will be identified on this website (e.g., application, Candidate Handbook, Newsletter).


3. Permitted Uses

By accessing or using the Site, you agree that:

  • Your use of the Site is subject to and governed by these Terms;
  • You will use the Site solely for its Services offered in the normal course of business;
  • You will always act in accordance with the law, custom, and in good faith;
  • You will comply with and be bound by these Terms as they appear on the Site each time you access and use the Site;
  • Each use of the Site by you indicates and confirms your agreement to be bound by these Terms; and
  • You or your representative(s) will only use CCI-approved contact forms and processes on this Site for contacting CCI personnel and that communication from you or your representative(s) regarding a CCI-related matter or decision may not be made outside of the CCI-approved contact forms or processes on this Site, including, but not limited to, contacting personnel at their home, in their community, or at their place of employment (if employed outside of CCI);
  • You also agree that you will not engage in threatening, vexatious, harassing, and/or profane communications on this Site with CCI personnel;
  • If you are sent a cease-and-desist notice from CCI for any reason (e.g., engaging in harassing communication or unauthorized contact, misrepresentation of CCI-owned intellectual property), you will immediately comply with that cease-and-desist notice; and
  • These Terms are a legally binding agreement between you and CCI that will be enforceable against you.


You further agree to not use the Site in any way that:

  • Changes or alters the Site, content, or Services that may appear on the Site;
  • Impairs in any way the integrity or operation of the Site;
  • Interferes with or induces a breach of the contractual relationships between CCI and CCI’s employees;
  • Is in any way unlawful or prohibited, or that is harmful or destructive to anyone or their property;
  • Transmits any advertisements, solicitations, schemes, spam, flooding, or other unsolicited email and commercial communications;
  • Transmits any harmful or disabling computer codes or viruses;
  • Harvests email addresses from the Site;
  • Harvests CCI information and/or certificant information from the Site;
  • Transmits unsolicited email to the Site or to anyone whose email address includes the domain name of the Site;
  • Interferes with CCI’s network services;
  • Attempts to gain unauthorized access to CCI’s network services;
  • Suggests an express or implied affiliation or relationship with CCI without CCI’s express written consent;
  • Impairs or limits CCI’s ability to operate the Site or any other person’s ability to access and use the Site;
  • Unlawfully impersonates or otherwise misrepresents your affiliation with any person or entity;
  • Transmits or uploads violent, obscene, sexually explicit, discriminatory, hateful, threatening, abusive, defamatory, offensive, harassing, or otherwise objectionable content or images;
  • Dilutes or depreciates CCI or any of CCI affiliates’ name and reputation;
  • Transmits or uploads content or images that infringe upon any third party’s intellectual property rights or right to privacy; or
  • Unlawfully transmits or uploads any confidential, proprietary, or trade secret information.


This list of prohibited activities provides examples and is not complete or exclusive. CCI reserves the right to terminate access to your account, and your ability to use this Site (or the Materials) with or without cause and with or without notice, for any reason or no reason, or for any action that CCI determines is inappropriate or disruptive to this Site or to any other user of this Site and/or Materials. CCI may report to law enforcement authorities any actions that may be illegal and any reports it receives of such conduct. When legally required or at CCI’s discretion, CCI will cooperate with law enforcement agencies in any investigation of alleged illegal activity on this Site.


4. Use of the Verification Page

Use of CCI Certificant Verification Page (the “Verification Page”) is subject to agreement and compliance with these Terms. The Verification Page is available as a resource for consumers, employers, and licensing authorities to verify certification status. The Verification Page and associated email contacts may not be used for commercial purposes. Prohibited uses of the Verification Page include, but are not limited to:

  • Sale of products
  • Information about products
  • Information about educational or professional programs
  • Vulgar or harassing emails
  • Solicitation for employment
  • Data harvesting
  • Creation of a mailing/emailing database


Violators should be reported via CCI’s Contact Us Form. Remedies available to CCI may include all available legal remedies, fees (including court costs and attorney’s fees) and damages. CCI will take necessary steps to ensure compliance with these Terms but does not guarantee or warrant certificants from emails in violation of these Terms.

CCI may grant extended access to regulators; such access, if granted, is restricted to the grantee (non-transferable), and limited to the use of the registry only for purposes permitted in the Use of Verification Page terms.


5. Your Communications to the Site

By forwarding any content or communications to CCI through the Site or by other electronic means, you thereby grant CCI a perpetual, royalty-free, worldwide, irrevocable, non-exclusive license to use such content and communications in any form for the purposes of providing the Services and any purpose tangentially related to the Services. No compensation will be paid to you with respect to CCI’s or CCI sublicensees’ use of your communications. By providing or submitting content, you represent and warrant that you own or otherwise control all of the rights to your submitted content and communications as described in this section, including, without limitation, all the rights necessary for you to submit the content and communications and grant the license above.


6. Official Uses by Regulators

Regulatory agencies may use the Site to provide information about ethics complaints and outcomes. Review and processing of such materials by CCI is subject to these Terms.


7. Electronic Communications

By using the Site and/or the Services, you consent to receiving electronic communications, including electronic notices, from CCI. These electronic communications may include notices about applicable fees and charges, program requirements, transactional information, and other information concerning or related to the Site and/or Materials. These electronic communications are part of your relationship with CCI. You agree that any notices, agreements, disclosures, or other communications that CCI sends you electronically will satisfy any legal communication requirements, including that such communications be in writing.


8. Monitoring and Enforcement; Termination

CCI has the right to:

  • Take appropriate legal action, including, without limitation, referral to law enforcement, for any illegal or unauthorized use of the Site; and
  • Terminate or suspend your access to all or part of the Site for any reason, including without limitation, any violation of these Terms.


Without limiting the foregoing, CCI has the right to cooperate fully with any law enforcement authorities or court order requesting or directing CCI to disclose the identity or other information of anyone posting any materials on or through the Site. You waive and hold harmless CCI from any claims resulting from any action taken by any of the foregoing parties during, or taken as a consequence of investigations by such parties or law enforcement authorities.

CCI does not assume any liability for any action or inaction regarding transmissions, communications, or content provided by any user or third party. CCI does not assume any liability or responsibility to anyone for performance or nonperformance of the activities described in this section.


9. Reliance on Information Posted

The information presented on or through the Site is made available solely for general informational purposes. CCI does not warrant the accuracy, completeness, or usefulness of this information. Use of this Site and any reliance you place on such information is strictly at your own risk. CCI disclaims all liability and responsibility arising from any reliance placed on such materials by you or any other visitor to the Site, or by anyone who may be informed of any of its contents.

This Site may include content provided by third parties, including materials provided by other users, social media access, and third-party licensors, syndicators, aggregators, and/or reporting services. All statements and/or opinions expressed in these materials, and all articles and responses to questions and other content, other than the content provided by CCI, are solely the opinions and the responsibility of the person or entity providing those materials. These materials do not necessarily reflect the opinion of CCI. CCI is not responsible, or liable to you or any third party, for the content or accuracy of any materials provided by any third parties.


10. Linking Policy

CCI welcomes links to its website in accordance with the following:

Links should not be misleading. Hyperlinked text should be accurate and appropriate. Content from this Site may not be framed or displayed using any kind of framing or source technology. The cc-institute.org Emblem is the only image that may be used to link to the Site.

This Site may link to other websites that are not sites controlled or operated by CCI (collectively, “Third-Party Sites”). Certain areas of the Site may allow you to interact and/or conduct transactions with such Third-Party Sites, and, if applicable, allow you to configure your privacy settings in your Third-Party Site account to permit your activities on this Site to be shared with your contacts in your Third-Party Site account and, in certain situations, you may be transferred to a Third-Party Site through a link but it may appear that you are still on this Site. In any case, you acknowledge and agree that the Third-Party Sites may have different privacy policies and terms and conditions and/or user guides and business practices than CCI. You further acknowledge and agree that your use of such Third-Party Sites is governed by the respective Third-Party Site privacy policy and terms and conditions and/or user guides. CCI provides links to the Third-Party Sites to you as a convenience, and CCI does not verify, make any representations or take responsibility for such Third-Party Sites, including, without limitation, the truthfulness, accuracy, quality or completeness of the content, services, links displayed and/or any other activities conducted on or through such Third-Party Sites.

You agree that CCI will not, under any circumstances, be responsible or liable, directly or indirectly, for any goods, services, information, resources and/or content available on or through any Third-Party Sites and/or third-party dealings or communications, or for any harm related thereto, or for any damages or loss caused or alleged to be caused by or in connection with your use or reliance on the content or business practices of any third party. Any reference on the site to any product, service, publication, institution, organization of any third-party entity or individual does not constitute or imply CCI endorsement or recommendation.

You must promptly remove any links to the Site upon the request of CCI. You may request the removal of a link to your website from the Site by contacting us. Unless there is a legal right to have the link removed, such removal will remain in CCI’s sole discretion.

Content on this Site is Copyright © 1979-2023 the Competency & Credentialing Institute (CCI), ALL RIGHTS RESERVED. The content of this Site is subject to U.S. and international copyright, trademark, and intellectual property laws. Unauthorized reproduction, copying, or transmission in any medium is strictly prohibited.

The logos, service marks, certification marks and trademarks “Competency & Credentialing Institute®,” “CCI®,” “CNOR®,” “CFPN®,” “CNS-CP®,” “CNAMB®,” and “CSSM®,” are owned by the Competency & Credentialing Institute®. Unauthorized use, misrepresentation, or references to these marks, the CCI’s certification programs and/or CCI standards is strictly prohibited. Misrepresentation, false characterization, or any attempted fabrication of certification status, or any other CCI offering will be subject to appropriate action, including, but not limited to (a) sanction by CCI; (b) cease-and-desist action; and (c) legal remedies, court costs, damages, and attorney’s fees.

All other trademarks, names, and logos on this Site are the property of their respective owners. Unless otherwise specified in these Terms, all information and content appearing on this Site, including documents, services, site design, text, graphics, logos, images, and icons, as well as the arrangement thereof, are the sole property of CCI. All rights not expressly granted herein are reserved. Except as otherwise required or limited by applicable law, any reproduction, distribution, modification, retransmission, or publication of any copyrighted material is strictly prohibited without the express written consent of CCI. Please see Section 13 below and the Guidelines for Use of CCI Intellectual Property web page for more information.


12. Examination Content

CCI examinations, item bank, test questions, and related materials are valuable intellectual and/or proprietary property owned by CCI. In addition to the Application Processing Agreement and the Examination Terms and Conditions (available in the Candidate Handbooks), you agree that should you misappropriate, use, or disseminate CCI secure trade secrets (e.g., examination forms, test questions) whether intentionally or not, you will be responsible for the cost of replacement of the materials, including any legal fees or court costs incurred to enforce this provision. With regards to the stipulated damages herein, the minimum cost to replacing a standard examination form is $250,000 per form plus legal fees and expenses.


13. Requests to Use CCI Intellectual Property

If you would like to request permission to use copyrighted materials, logos, service marks, certification marks, or trademarks owned by CCI, please complete the Copyright/Trademark Permission Request Form. If you are granted permission to use copyrighted materials, logos, service marks, certification marks, or trademarks owned by CCI, you must use them as directed and outlined in the approval you will receive. Deviation from directed use is prohibited.


14. CCI Logo Use

CCI does not permit the use of its corporate logo under any circumstances. However, CCI is pleased to offer the following cc-institute.org emblem as an alternative:


The following guidelines will help you identify how this emblem may be used:

  • You may use the emblem on your company website, blog, and/or social media site to identify to CCI and its certification for perioperative nurses. Please ensure the emblem is not the identifier for your site or the central focal point of your site.
  • You are welcome and encouraged to use the emblem to also reference the Site. You may link the emblem to the CCI homepage (www.cc-institute.org), but not to any other site.
  • While you may alter the emblem’s size, its color, font, shape, wording, registration, and trademark insignias must remain in their original forms.


15. Media Resources

Use of CCI media resources (the “Media Resources”) is subject to these Terms. Media Resources include, but are not limited to, CCI owned, developed, or commissioned:

  • podcasts
  • blogs
  • social media content
  • resource documents
  • videos


CCI disclaims any liability for damages or fees (direct, indirect, incidental, consequential) arising out of your use of or reliance upon any Media Resource. Media Resources may not be reproduced, copied, displayed, edited, retransmitted, or shared in any medium for commercial use or sale without CCI’s express written consent. Media Resources are protected under U.S. and international copyright and trademark laws.

Media Resources may only be used in noncommercial professional content (e.g., journals, podcasts, educational lectures, conference presentations) subject to Fair Use limitations and only with proper citation of CCI as the source and owner of the content. Use of a Media Resource is at the user’s own risk.


16. Acceptable Signatures

CCI accepts electronic signatures for applications and forms, whether submitted electronically or by mail. An electronic signature is “an electronic sound, symbol, or process, attached to or logically associated with a contract or other record and executed or adopted by a person with the intent to sign the record” (15 U.S.C. § 7006 [2000]). Simply stated, an electronic signature is an electronic expression indicating a signee’s intent to sign a document. By contrast, a digital signature is a specific kind of electronic signature, which requires authentication of a signee’s identity.

Although it is preferred that documents are digitally signed using a third-party electronic signature service (e.g., Adobe Sign, DocuSign, HelloSign), CCI will accept any type of electronic signature (e.g., Adobe Fill & Sign, JPEG of a signature) provided the document is signed by the appropriate party with the intent of signing the document.

CCI also accepts handwritten signatures on scanned documents, unless the document states that an original signed copy is needed. Alterations on handwritten documents (e.g., white-outs, strike-throughs) must be initialed by both parties.


17. Federal and State Laws

This Site is operated from the United States. If you access this site from anywhere inside or outside the United States, you consent to your personal data being collected by us. When using this Site, or when using any content provided by CCI, you must obey all applicable U.S. federal, state, and local laws.


18. Disclaimer of Warranties

To the fullest extent provided by law and except as otherwise provided herein or elsewhere on this site, the information and services offered on or through this site and any referenced Third-Party Site are provided “as is” and without warranties of any kind, either express or implied. Any third-party goods or service providers are referenced as a convenience to you and listing does not constitute sponsorship, affiliation, partnership, or endorsement. To the fullest extent allowed by law, CCI disclaims all express and implied warranties, including but not limited to implied warranty of merchantability, fitness for a particular purpose, title, and non-infringement. Use of this Site is at your own risk, without any warranty or guarantee. CCI shall not be held liable for your use of the Site contents and any errors or omissions in the Materials.

To the fullest extent allowed by law, CCI does not warrant or make any representations regarding the use or the results of the use of this site, content, or other posted materials on this site in terms of its correctness, accuracy, timeliness, reliability or otherwise.

By providing the services on this site, CCI does not in any way promise that the services will remain available to you. CCI is entitled to terminate all or part of any of this site at any time, at CCI’s sole discretion without notice to you.


19 Limitation of Liability

The liability of CCI and its officers, directors, employees, agents, affiliates, licensees, representatives, and service providers with respect to any and all claims arising out of your use of this site, the materials, the content, or services obtained through this site, whether based on warranty, contract, negligence, strict liability or otherwise, shall not exceed, in the aggregate, one hundred dollars ($100).

In no event will CCI be liable to you or any party for any direct, indirect, special, or other consequential damages for any use of this site, or on any other hyperlinked website, including, without limitation, any lost profits, business interruption, loss of programs or other data or otherwise, even if CCI is expressly advised of the possibility of such damages.


20. Indemnification

You agree to indemnify, defend, and hold harmless CCI and its officers, directors, employees, agents, affiliates, licensees, representatives and service providers, for any and all claims, demands, actions, liability, fines, penalties and expenses that may arise from any of your acts through the use of this Site including, but not limited to (i) eligibility determinations; (ii) certification grants, denials, or other actions; (iii) renewal, recertification, or reinstatement actions; (iv) the examination experience; (v) conduct of a background check; (vi) issuance of a code-enforcement decision; (vii) publication or third-party disclosure in accordance with the Privacy Policy and Application Processing Agreement; and/or (viii) any other action that breaches these Terms.

In the event of an official use of the Verification Page or collaboration with regulatory agencies on ethics-related matters, the regulatory agency shall grant CCI the same immunity enjoyed by the regulatory agency, to the greatest extent permitted by law.


If you believe that you may have a copyright claim regarding this Site’s content, contact us with the following information:

  • An electronic or physical signature of the person authorized to act on behalf of the purported owner of the copyright interest;
  • Description of the copyrighted work that you claim has been infringed;
  • The location on this Site of the material that you claim is infringing;
  • Your address, telephone number, and email address;
  • A statement that your claim of infringement is based on a good faith belief; and
  • A statement made under penalty of perjury that the information you have provided is accurate and that you are the copyright owner or authorized to act on the copyright owner’s behalf.


22. Miscellaneous Provisions


As may be mutually agreed upon by you and CCI, any disputes between you and CCI may be resolved by binding, individual arbitration in Colorado with an arbitrator selected by mutual agreement of the parties. This dispute resolution provision will be governed by the Federal Arbitration Act and not by any state law concerning arbitration.

Waiver of Right to Jury; Class Action Waiver

All disputes not subject to agreed arbitration will be tried to the court, rather than to a jury. To the extent allowed by law, you agree to irrevocably waive any right you may have to a trial by jury or to serve as a class representative, as a private attorney general, or in any other representative capacity, or to participate as a member of a class of claimants, in any lawsuit, class arbitration, consolidation of individual arbitrations, or other proceeding filed against CCI and its officers, directors, employees, agents, affiliates, licensees, representatives and service providers.

Governing Law and Venue

These Terms shall be governed by and construed in accordance with the laws of the State of Colorado, excluding its conflicts of law rules, and the United States of America. Unless you and CCI agree to arbitration, you agree that any dispute arising from or relating to the subject matter of these Terms shall be governed by the exclusive jurisdiction and venue of the state and Federal courts of Denver, Colorado.


If any term or provision in these Terms is found to be void, against public policy, or unenforceable by a court of competent jurisdiction and such finding or order becomes final with all appeals exhausted, then the offending provision shall be deemed modified to the extent necessary to make it valid and enforceable. If the offending provision cannot be so modified, then the same shall be deemed stricken from these Terms in its entirety, and the remainder of these Terms shall survive with the said offending provision eliminated.

Updates and Privacy Policy

CCI may make changes to the content available on this Site at any time. CCI may change, update, add, or remove provisions of these Terms at any time by posting the updated Terms on this Site. By using this Site after CCI has updated the Terms, you are agreeing to the then-current Terms.

To learn more about how CCI uses and protects the privacy of users of this Site, please review CCI Privacy Policy.


Condition and section headings are for convenience of reference only and shall not affect the interpretation of these Terms.

23. How to Contact Us

If you have any questions or comments about these Terms or this Site, please contact us.