Edit, Download, and Sign the Massachusetts Certified Nursing Assistant Exam Application

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To fill out this form, begin by ensuring you have all necessary information at hand, including your personal details and identification. Carefully read the instructions provided to avoid any errors in submission. Make sure to complete all required fields marked with an asterisk.

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How to fill out the Massachusetts Certified Nursing Assistant Exam Application?

  1. 1

    Visit the Prometric website for the latest application version.

  2. 2

    Fill out all required fields accurately.

  3. 3

    Include any necessary legal documentation if your name has changed.

  4. 4

    Submit the payment form along with your application.

  5. 5

    Mail the completed application to the specified address.

Who needs the Massachusetts Certified Nursing Assistant Exam Application?

  1. 1

    Individuals looking to become Certified Nursing Assistants in Massachusetts.

  2. 2

    Those who have taken the exam previously but need to reapply.

  3. 3

    Nurses moving to Massachusetts with out-of-state certifications.

  4. 4

    Students who have completed a CNA training program and wish to get certified.

  5. 5

    Individuals needing accommodations under the Americans with Disabilities Act.

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What are the instructions for submitting this form?

Submissions for this application can be completed online or mailed. For online submissions, please visit the Prometric website. If mailing, send your completed application to Prometric, ATTN: LA Nurse Aide Program, 7941 Corporate Drive, Nottingham, MD 21236. Ensure you include the payment form with your application to avoid processing issues.

What are the important dates for this form in 2024 and 2025?

Important dates for the Massachusetts CNA Exam include application deadlines and exam dates. It is crucial to check Prometric’s official site for the most current scheduling and deadlines related to test registration.

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What is the purpose of this form?

The purpose of this form is to facilitate the application process for the Massachusetts Certified Nursing Assistant Examination. It collects essential information from candidates to verify eligibility. Proper completion of this application allows for smooth processing and scheduling of the certification exam.

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Tell me about this form and its components and fields line-by-line.

The application consists of multiple fields aimed at gathering personal data, certification eligibility, and contact information.
fields
  • 1. Social Security Number: A unique identifier needed for processing your application.
  • 2. First Name: Your legal first name as per government identification.
  • 3. Last Name: Your legal last name as per government identification.
  • 4. Date of Birth: Your birth date in the format Month/Day/Year.
  • 5. Street Address: Your current residential address including any units or PO boxes.
  • 6. State: The state of your residency.
  • 7. City: Your city of residence.
  • 8. Phone Number: Your primary contact number.
  • 9. ZIP Code: The postal code for your address.
  • 10. Email Address: Essential for application processing and communication.

What happens if I fail to submit this form?

Failure to submit this form properly may result in delays in processing or rejection of your application entirely. It's crucial to ensure all information is correct and all required documents are included to avoid these issues.

  • Application Processing Delays: Incomplete applications will take longer to process than expected.
  • Rejection of Application: Missing information or documents can lead to outright rejection.
  • Loss of Test Fees: If the application is not processed due to errors, test fees may not be refunded.

How do I know when to use this form?

You should use this form when you are prepared to take the Certified Nursing Assistant Examination in Massachusetts. Utilize it if you are a new applicant, reapplying, or seeking certification through reciprocity from another state.
fields
  • 1. New Applicants: Individuals who have not yet taken the CNA exam.
  • 2. Reapplying: CNA candidates who wish to retake the examination.
  • 3. Reciprocity Candidates: Nurses from other states seeking certification in Massachusetts.

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Is online submission available for this application?

Yes, you can apply online through the provided website link.

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