NARM Entry Level Portfolio Evaluation Process (PEP) Application Forms

The normal fee for ordering an application packet by mail is $50. You now have the option to download the forms instead. There is no charge for the download, but a one time $25 administrative fee should be added when submitting the completed PEP application to NARM.

These files are all in pdf format, and you will need a recent version of Adobe Reader in order to open these files. The reader is a free program and available to download here. NARM cannot assist with technical support downloading and printing these files. If you are unable to download the files from this web page, please order the complete application packet using the form here, and it will be mailed to you.

General Instructions

General Application Form 100

Entry Level PEP Checklist

Letter of Reference Forms 101a, b, c (English)

Letter of Reference Forms 101a, b, c (Spanish)

Births as an Active Participant Form 111

Births as Primary Under Supervision Form 112a-f

List of Preceptors for Birth Experience Form 113

Verification of Birth Experience Form 114

Continuity of Care—Practical Experience Form 200

Comprehensive Skills, Knowledge, and Abilities Essential for Competent Midwifery Practice Verification Form 201

Preceptor Verification Form 202

Document Verification Form 205a

Document Verification Form 205b

Second Verification of Skills Form 206

For Internationally Educated Midwives and/or Physicians—Application for Verification of International Education through ICA Form 220

Out of Country (OOC) Birth Sites Form 230