PROGRAM EVALUATION COMMITTEE

Annual Audit Form

2023 Due Date: March 30, 2023

Your Information

Hospital/Organization Name *

Name/Title of Person Completing Form *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Link to Program Website *

Program Information

Is the program still active? If not, provide information on why and when it stopped functioning. *

Yes

No

Please explain why and when the program stopped functioning: *

How many students have graduated from your program since you earned recognition by ABRET? *

How many students do you currently have? *

What percentage of new graduates took an ABRET exam over the last three years? *

What has the pass rate been on ABRET credentialing exams over the last three years? *

How many of your graduates have attempted a credentialing exam more than once?
Provide three years of data below, if available. *

If available, please upload data below:

Upload a copy of your curriculum.
(Highlight any changes since your last submission) *

Provide a list of your current teaching staff and preceptors: *

If your pass rate on ABRET exams has been less than 50%,
what steps are you taking to increase the pass rate?
(Enter "N/A" if your pass rates are over 50%)

Payment - $100 fee

Online Payment

Mail in check

Mail check to:

ABRET Executive Office
111 E. University Dr. #105-355
Denton, TX 76209