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FAQ: Transcripts for your CTR Exam Application

2018 CTR Exam Handbook & Application

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Job Analysis Survey

Updates to 2014 CTR Exam [YouTube]

History of the Eligibility Route (PDF 184KB)

2017 CTR Exam Report (PDF)

CTR Credential Primer

Download Rationale Letter to Sit for Exam

Share Your Success Story, CTRs

Cancer Registry Field Definition

Eligibility Routes

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Welcome to National Cancer Registrars Association's Council on Certification Web site. The National Cancer Registrars Association’s (NCRA) Council on Certification promotes standardization in the collection and use of cancer data through examination and certification of Cancer Registrars and other cancer data specialists. The CTR®, Certified Tumor Registrar, credential marks achievement, fosters professional pride, and is nationally recognized in recruitment and retention of registry personnel.

2018 CTR Exam

Download the 2018 CTR Exam Candidate’s Handbook.


  • March 12– March 31; application deadline = February 16
  • June 25 – July 14; application deadline = June 1
  • October 15 – November 3; application deadline = September 25

  • Each of the 3 testing windows will be 3-weeks long.

  • Download the 2018 CTR Exam Candidates Handbook & Application.

  • Find a testing center location

    • Carrels at testing centers are 39 inches wide and the desks are 35.5” wide and 27” deep. To maximize desk space the computer monitors are mounted on the rear carrel.

    • To get a sense of the testing center setup, watch this video.

  • All questions are multiple-choice.

  • See the list of resources and references.

  • View the detailed content outline

  • Collaborative Stage will NOT be tested.

  • The open-book section may test on any primary site using AJCC Stage, Appendix B of FORDS, ICD-O-3, MPH, or SEER Summary Staging Manual - 2000.

  • Sample exam items

  • Exam Registration Fees: $399 ($299, NCRA member-rate)

  • Two forms of identification are required for exam candidates at testing centers. One form of identification must be a current and valid government issued form of identification which contains the candidate’s picture and is signed (i.e. driver’s licenses, passports, non-drivers state identification cards, etc.). Temporary identification government issued identification is not accepted. The second form of identification must include the candidates name and signature (i.e. signed debit/credit cards, social security cards, student ID cards, etc.)

  • After completing the examination, candidates will only receive an exam completion report, but no test results. Candidates will be notified by email within six weeks from the LAST DAY of the testing period to access their test results online. Scores on the major areas of the examination and on the total examination will also be reported.

  • Candidates must receive a passing score on the total examination (closed-book + open-book) to become certified.


    NCRA's Council on Certification neither sponsors nor endorses review courses or prepared preparatory materials for the Certification Examination for Cancer Registrars. Check the list of resources that may be of use in preparing for the examination.


    Learn more information about National Cancer Registrars Association (NCRA), a non-profit, professional organization with over nearly 4,800 members representing the various types of institutions that have an interest and responsibility in cancer services and data. NCRA promotes education, credentialing, and advocacy for Cancer Registry professionals.

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