Certification Upgrade & Renewal Application

The online application must be completed and submitted during one session. It cannot be saved and returned to at a later time.

If you are unable to do this, consider copying the fields required into a separate word document that can be completed and edited prior to the final online submission.

* Indicates Required Field

(If you are applying for a new certificate, please fill out the Hospital Certification Application Form here.)

Application Type: Individual Hospital or Hospital System Application?*
Current Certification Level*
  • - select a level -
  • Bronze
  • Silver
  • Gold
  • Hospital System - Various
Date of Last Certification Designation*

Individual Hospital Certification Application

Contact Information
Hospital Seeking Designation*
Name of hospital complete as it should appear in any certification documents.
Hospital Mailing Address*
Hospital Mailing Address Line 2
City*
State*
Zip Code*
Lead Contact Information
First Name*
Last Name*
Credentials*
Title*
Email Address*
Phone Number*
Secondary Contact Information
First Name*
Last Name*
Credentials*
Title*
Email Address*
Phone Number*
About the Hospital
Choose a level for recertification or upgrade*
To submit an application to become a BRONZE Certified Safe Sleep Hospital, please be able to demonstrate the following:



– Hospital Staff Training and Education

– Hospital Safe Sleep Policy

– Parent Education and Modeling


To submit an application to become a SILVER Certified Safe Sleep Leader, please be able to demonstrate the following:



– Hospital Staff Training and Education

– Hospital Safe Sleep Policy

– Parent Education and Modeling

– Wearable Blanket Program


To submit an application to become a GOLD Certified Safe Sleep Champion, please be able to demonstrate the following:



– Hospital Staff Training and Education

– Hospital Safe Sleep Policy

– Parent Education and Modeling

– Wearable Blanket Program

– Community and Media Outreach

– Associate with, or become, a Cribs for Kids® Partner


Births Per Year*
Units caring for patients under the age of 1 and the number of beds on each unit.*
Acknowledgement of Safe Sleep Images. Your hospital's submission for certification affirms the following:
Infant Safe Sleep Certified Hospitals commit to portray only safe sleep images, both within the hospital, as well as on printed and electronic materials. Any unsafe images must include messaging as follows, "This photo is for artistic purposes only and does not represent AAP infant safe sleep practices."
Hospital System Information
Write N/A if community or independent hospital.
Hospital System*
Hospital System Corporate Address
Hospital System Corporate Address Line 2
City
State
Zip Code
Document Uploads
Note: Hospital firewalls may prevent some uploads. If you find you are not able to upload documents, please submit the application form first then email any documents to hospitalcertification@cribsforkids.org.
Infant Safe Sleep Policy
Upload Your Policy & Select Your Approved Date of Policy (Note: Your policy must be fully implemented for at least 3 months prior to certification application.)
Upload your Infant Safe Sleep Policy
Hospital Certification Infant Safe Sleep Narrative
Upload a word document that briefly speaks to how your hospital enforces and supports Infant Safe Sleep for each requirement for the certification level sought (You can find sample narratives in the Certification Toolkit).
Upload your documents...
Hospital Employee Training Materials
Upload any hospital produced employee training materials.
Upload your documents...
Hospital Family/Caregiver Education Materials
Upload any hospital produced family education materials.
Upload your documents...

Hospital System Certification Application

Hospital System Lead Information
Hospital System Seeking Designation*
Hospital System Corporate Address*
Hospital System Corporate Address Line 2
City*
State*
Zip Code*
System Certification Lead
First Name*
Last Name*
Credentials*
Title*
Email Address*
Phone Number*
System Certification Secondary Contact
First Name*
Last Name*
Credentials*
Title*
Email Address*
Phone Number*
About the Hospital System
Number of Hospitals Seeking Certification*
Complete and Upload the System Certification Worksheet found in the Hospital Certification Toolkit.
List each hospital that is represented by the Hospital System applying for certification.
Upload your document...
Acknowledgement of Safe Sleep Images. Your hospital's submission for certification affirms the following:
Infant Safe Sleep Certified Hospitals commit to portray only safe sleep images, both within the hospital, as well as on printed and electronic materials. Any unsafe images must include messaging as follows, "This photo is for artistic purposes only and does not represent AAP infant safe sleep practices."
Document Uploads
Note: Hospital firewalls may prevent some uploads. If you find you are not able to upload documents, please submit the application form first then email any documents to hospitalcertification@cribsforkids.org.
System-wide Infant Safe Sleep Policy
Upload Your Policy & Select Your Approved Date of Policy (Note: Your policy must be fully implemented for at least 3 months prior to certification application.)
Upload your Infant Safe Sleep Policy
System-wide Certification Infant Safe Sleep Narrative
Upload a word document that briefly speaks to how your hospital enforces and supports Infant Safe Sleep for each requirement for the certification level sought (You can find sample narratives in the Certification Toolkit).
Upload your documents...
System-wide Employee Training Materials
Upload any system produced employee training materials.
Upload your documents...
System-wide Family/Caregiver Education Materials
Upload any system produced family education materials.
Upload your documents...
Submission of this application certifies careful review of the requirements for Infant Safe Sleep National Hospital Certification as published on the Cribs for Kids website and its Hospital Certification Tool Kit. Our hospital/system:


– Provides patient care as per AAP Infant Safe Sleep Recommendations

– Follows Cribs for Kids Infant Safe Sleep Photography Guidelines

– Does not distribute, nor partners with any agencies or organizations that distribute infant sleep boxes or other unapproved infant sleep spaces


By clicking "agree" you are confirming that you have carefully reviewed your application and agree to the statement above.