ONCC FREETAKE CERTIFICATION PROGRAM

Agreement to Participate

This Agreement is made between the Oncology Nursing Certification Corporation (hereafter referred to as "ONCC") and the employer ______(hereafter referred to as "Employer.") Employer includes all facilities identified by the Employer in Addendum 1 of the agreement. ONCC and Employer are referred to collectively as "the Parties." Based on mutual consideration, the Parties hereby agree as follows:

I. Employer agrees to:

A.Enroll a minimum of 10 eligible ONCC examination candidates during the 12-month term of this Agreement. Candidates may apply for any ONCC certification examination. Applicants who are not eligible for certification will not count toward the 10-candidate minimum.

B.Identify at least one contact person for this program (see Addendum 1) to:

•share information about ONCC certification examinations and this program with employees

•distribute discount codes and instructions that enable employees to apply for an examination as part of the program

•review applicant registration reports provided by ONCC

•notify ONCC of any nurses who are no longer employed with the Employer, or are otherwise not eligible to participate in the program.

C.Inform their institutional participants that the following actions will count as one of the two possible test attempts available to each applicant:

1.allowing the 90-day test eligibility period identified in the individual’s Authorization to Test to expire without making a test appointment.

2.failing to show for a scheduled test appointment

In instances when an applicant forfeits a test attempt due to the actions listed above, the applicant will be granted only one more opportunity to take the test.

  1. Pay ONCC the test fee of $296 (ONS/APHON member) or $416 (Non-member) as applicable for each ONCC examination passed by an Employer nurse who applies for an ONCC examination during the Agreement period. Nurses have 90 days in which to test after application submission.
  2. Pay ONCC for a minimum of 10 test candidates. If less than 10 candidates are submitted ONCC will charge the Employer the remaining test candidates at the rate of $296 per candidate.
  3. Pay ONCC invoices within 30 days of receipt. Failure to pay invoices within this time may jeopardize participation in the program.

II. ONCC agrees to:

A.Assist the employer in recruitment of ONCC test candidates, as follows:

1.ONCC shall provide the Employer with application codes that enable nurses to apply without payment.

2.ONCC shall provide the Employer with promotional materials at no cost to Employer.

3.ONCC staff shall assist the Employer contact person in monitoring ONCC test applicant registration levels.

4.ONCC staff shall provide the contact person with a monthly report of all ONCC test applicants received from the Employer.

B.Allow eligible program applicants from Employer to take the ONCC exam at the computer-based testing site of their choice, within a 90-day test eligibility period as assigned in the Authorization to Test (ATT). Test candidates must schedule a testing appointment according to the instructions provided in the ATT.

C.ONCC shall provide Employer with a detailed monthly invoice which lists the nurses who have successfully passed an ONCC examination, including the name of the examination and the cost for each.

D.ONCC agrees that all unsuccessful candidates employed by Employer shall be offered one opportunity to re-take the examination one time, at no additional fee, within the ensuing 12-months.

III. Additional terms

A.Except as otherwise stated in this Agreement, each party agrees not to use the name, trademark, certification mark, service mark, or design of the other party or its affiliates in any publicity, promotional, or advertising material, unless review and written approval of the intended use is obtained from the other party prior to the use or release of any such material.

B.ONCC Certification Policies. All terms, conditions, policies, procedures, and other requirements of testing and certification of ONCC are applicable to all candidates under this Agreement. These policies can be found at

C.Confidentiality. Each party acknowledges that during the term of this Agreement confidential information may be obtained from the other party. Each party shall not disclose, other than in the normal conduct of its duties, either during or after termination of this agreement, such information to any third party, unless such information has already become public knowledge, was previously known by the other party, is legally required to be disclosed

D.Indemnity. Each party shall indemnify, defend, and hold harmless the other party, its directors, trustees, officers, agents, employees, representatives, fiduciaries, and affiliates from and against all claims, losses, costs, and damages, including but not limited to attorneys’ fees and costs, pertaining to the indemnifying party’s performance of this Agreement.

E.Disputes. In the event of a dispute arising from or under this Agreement, each party agrees to first enter negotiations to resolve the dispute. The parties agree to negotiate in good faith to reach an agreeable resolution of the dispute within a reasonable period. If the dispute cannot be resolved by the parties through negotiation within 30 days of the of the date of the initial demand for negotiation by one of the parties, then either party may seek resolution as provided by law. “Dispute” means failure of the parties to reach agreement on any claim or action arising under or relating to the Agreement.

F. Incomplete Test Applications. ONCC will not process incomplete test applications (e.g., applications that do not include all required information or documentation). It is the responsibility of the applicant to provide ONCC with all required information and/or documentation.

G. Employers who do not have an average pass rate of 60% at the end of this Agreement may not be eligible to renew the Agreement for a subsequent 12-month term.

IV. Term, termination, and renewal

A. This Agreement is for one year, effective as of ______, 20___ and ending ______, 20___.

B. Either party reserves the right to terminate the agreement at any time given thirty (30) days prior written notice to the other party. This Agreement may also be terminated under the following conditions:

1.Employer ceases operations.

2.ONCC ceases business as a certification agency.

3.Employer fails to pay invoices per the Agreement.

C. Notice of termination or change should be sent to:

For the Employer:

Name: ______

Title: ______

Address: ______

Address: ______

Address: ______

Phone: ______

Fax: ______

Email: ______

For ONCC:

Oncology Nursing Certification Corporation

Fax: 412-859-6168

Email:

The Parties have caused this Agreement to be executed to confirm their acceptance of its terms.

For EMPLOYER:

Name: ______

Title: ______

Email: ______

Signature ______Date: ______

For ONCC:

Cynthia Miller Murphy

Executive Director

Signature ______Date: ______

ONCC FREETAKE PROGRAM

Agreement to Participate

ADDENDUM 1

For the purposes of this Agreement the following Employer contact and ONCC staff will work together to carry out the responsibilities outlined in this contract.

Employer FreeTake Participating Facilities Covered Under Agreement

Healthcare systems or institutions with multiple locations, please list all facilities eligible to participate in this agreement. (Attach an additional sheet if necessary)

Facility NameCity/State

Employer FreeTake Program Primary Contact Person

This individual has oversight for the program at the Employer level, including:

1. Managing the dissemination of coded application forms and/or application codes to eligible nurses

2. Monitoring interim reports of nurses who apply using the code

3. Disseminating information about ONCC examinations and how to apply.

Please notify within 7 business days if this contact changes.

Name: ______

Title: ______

Mailing Address (include any mail stops/codes or special room or building instructions): ______

______

______

Phone: ______Email: ______

Employer FreeTake Program Secondary Contact Person (Optional)

Please notify within 7 business days if this contact changes.

Name: ______

Title: ______

Mailing Address (include any mail stops/codes or special room or building instructions): ______

______

______

Phone: ______Email: ______

Employer Contact Person for Invoicing/Payment

This individual receives the invoices and facilitates payment to the ONCC. May be the same as the contact above. Please notify within 7 business days if this contact changes.

Name: ______

Title: ______

Mailing Address (include any mail stops/codes or special room or building instructions): ______

______

______

Phone: ______Email: ______

For Questions Regarding the Program:

ONCC FreeTake

877-769-ONCC (6622)