Application, Fees, Filing Structure, and Timeline for the CML Challenge Program

Applicants have one year from date of application to complete the CML Challenge Program, including payment of all fees, remediation (academic and clinical) necessary to meet CML Challenge Program requirements, and completion of the CML Challenge Written Examination (extensions may be granted if exam retakes are necessary). Fees may be paid online.

Candidates interested in the CA Challenge mechanism should submit the CA Challenge Application and Initial Forms to nmioffice@nationalmidwiferyinstitute.com along with the first of three payments outlined below.

Your application will not be processed until payment is received.

Fee Structure

Applicants agree to make fee payments at the initiation of each step of the CML Challenge Application process. All CML Challenge fees are non-refundable. CML Challenge fees total $7,500, to be paid as follows: 

Step 1 - CML Challenge $2,500

$2,500 paid with submission of the following NMI CML Challenge forms (please refer to forms for completion instructions):

Step 2 - CML Challenge $3,000

$3,000 for receipt and processing of the following NMI CML Challenge forms (instructions for completing forms will be provided the Challenge Administrator):

  • Academic Source Documents

  • Gap Analysis Chart of Completed Academic Study (including annotated academic source documents)

  • Applicant’s Experience for Verification

  • Physician Verifier Information and Agreement

  • Midwife Verifier Information and Agreement

Step 3 - CML Challenge $2,000

$2,000 paid to register for the NMI CML Challenge Written Examination. Upon receipt of payment, CML Challenge Administrator will email midwife-applicant a confirmation and guidelines for taking the exam which includes: available exam dates and location details.

CML Challenge Exam Retake $500

$500 paid to register for the NMI CML Challenge Written Examination re-take. This is for the midwife-applicant who was unable to pass the CML Challenge Exam. Upon receipt of payment, CML Challenge Administrator will email midwife-applicant a confirmation and guidelines for taking the exam which includes: available exam dates and location details.