Out-Of-Country Applicants

NMI academic course work may be completed from wherever students are (with exceptions - see **below), anywhere in the world, provided the student has access to basic computer resources including word processing and e-mail. 

At this time, NMI is not accepting new out-of-country clinical placements (with exceptions - see * below). United States residents interested in obtaining clinical training abroad may choose to do so, but the clinical experiences that they attend while abroad will not count toward NMI's clinical experience requirements for student-assistant under preceptor supervision or student-primary under preceptor supervision phases of clinical training.  

Students applying with advanced placement or transfer students with clinical experience obtained prior to enrollment who do not meet the exceptions below may be able to count out-of-country clinical experiences that they obtained with qualified preceptors prior to January 1, 2015. Contact NMI for more information. 

*Clinical experiences obtained in Canada and/or the United Kingdom may be able to be counted toward NMI's clinical experience requirements for graduation. Canadian applicants: see below for more information. You can also Contact NMI for details.
*Applicants who are native or naturalized citizens of countries not listed here, and who secure preceptorships with midwives who are also native or naturalized citizens and are credentialed and legally practicing, may be able to document clinical experiences that will count toward NMI's clinical experience requirements for graduation. Contact NMI to discuss your unique situation. 
**NMI must be legally authorized to operate or exempt from such authorization with all regulatory agencies that govern midwifery education programs, post-secondary education, vocational education, and/or degree-granting institutions in every state or local jurisdiction where our institution has a presence. To learn more about states where NMI can and cannot currently enroll students, visit our States Permission to Operate page.  

Graduates Practicing Abroad Post-Graduation

Graduates of National Midwifery Institute qualify for the North American Registry of Midwives (NARM) Written Examination, which if passed leads to the Certified Professional Midwife (CPM) credential. The CPM credential is a United States midwifery credential and does not translate to legal practice abroad. Students who graduate from NMI and obtain their CPM credential must determine whether further certification and/or licensure is required to legally practice should they desire to practice midwifery abroad. 

Canadian Applicants

Midwifery in Canada is regulated differently than midwifery in the United States. Each Canadian province regulates midwifery differently, and only a few Canadian provinces have midwifery education programs or funded midwifery jobs for graduates. These programs are notoriously challenging to be accepted into. Some Canadian midwives-to-be choose to study long-distance through schools like National Midwifery Institute, complete their clinical training requirements outside of Canada, and then apply to a Canadian bridging program for internationally-trained midwives. 

National Midwifery Institute has experienced alumni that are now practicing in Canada and can speak to these processes first-hand. Please contact NMI to be put in touch with these midwives if you need more help assessing if NMI is a good option for you in Canada. 

There are currently two active bridging programs for internationally-trained midwives to bridge into working as Canadian midwives:

Attending these bridging programs may qualify you to practice in other provinces: check with each program. 

These programs' entry requirements change frequently, and their ability to accept Canadian students trained overseas and bridging back into Canada (as opposed to immigrant midwives coming into Canada) may change. If you are a Canadian applicant interested in completing a program like National Midwifery Institute and then bridging back into Canada, we strongly suggest you begin discussions with a bridging program about their entry requirements and eligibility. 

If you decide to proceed with NMI as your educational path as a Canadian applicant, there are several points to keep in mind: 

  • You can complete your NMI academic education online, from anywhere.
  • Some bridging programs require that you not only complete an educational program in another country, but that you are also credentialed in that country. In the case of Canadian students who graduate from National Midwifery Institute, passing the NARM Certified Professional Midwife (CPM) exam and being issued the CPM credential would qualify. Other bridging programs require that you complete an educational program, but do not require you to obtain the CPM credential. Check with your preferred bridging program.
  • In many cases, entry requirements into Canadian bridging programs request clinical experience numbers much higher than needed to graduate from NMI or qualify for your NARM exam. Check with your preferred bridging program. 
  • You will need to complete your clinical experience requirements for NMI graduation outside of Canada. National Midwifery Institute requires that all clinical experience requirements for graduation take place in the United States or Canada (with exceptions: see above), under supervision of a NMI-approved preceptor. Clinical experience requirements will most likely need to be completed in the United States. You may require work or study visas: NMI cannot provide students with access to study visas. While some students may look into completing additional clinical experiences outside of North America to achieve the higher requisite number of births attended that Canadian midwifery candidates must document, NMI and NARM may not accept these numbers outside of North America to meet minimum graduation requirements and/or qualifying to take the NARM CPM exam. Contact NARM or National Midwifery Institute for more information and to discuss your specific situation. 


I enjoy the flexibility of a correspondence program that allows me to submit work from wherever I am.

~ an NMI Student

To learn more, view the NMI Handbook.