Edit, Download, and Sign the New York CNA Examination Application Instructions
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How do I fill this out?
To fill out the application form, start by ensuring all personal information matches your government ID exactly. Carefully follow the instructions for each section of the form, including any requirements for legal documentation if your name has changed. Double-check your application for completeness before submitting.
How to fill out the New York CNA Examination Application Instructions?
1
Download the application from the Prometric website.
2
Fill in your personal information accurately.
3
Attach required legal documents if the name has changed.
4
Complete the payment form and include it with the application.
5
Mail the application to the specified address.
Who needs the New York CNA Examination Application Instructions?
1
Prospective nurse aides who want to take the exam.
2
Individuals changing their name and needing to update their records.
3
Healthcare employers seeking to verify qualifications.
4
Nursing school graduates applying for certification.
5
Registered nurses or LPNs needing to certify as nurse aides.
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Select the text or area you wish to edit.
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What are the instructions for submitting this form?
To submit this form, complete it thoroughly and ensure all required documentation is included. Mail your application to Prometric, ATTN: NY Nurse Aide Program, 7941 Corporate Drive, Nottingham, MD 21236. For online applications, visit the Prometric website and follow the submission guidelines.
What are the important dates for this form in 2024 and 2025?
Important dates for the New York CNA Examination application process in 2024 and 2025 will be updated annually. Ensure to check the Prometric website for the latest deadlines. Stay informed to avoid missing your opportunity to apply.
What is the purpose of this form?
The purpose of this form is to facilitate the application process for individuals seeking certification as nursing assistants in New York. It ensures that applicants provide all necessary information and documentation required for the examination. By completing this form correctly, applicants will streamline their path to certification.
Tell me about this form and its components and fields line-by-line.
- 1. First Name: The applicant's first name as it appears on their government ID.
- 2. Last Name: The applicant's last name as it appears on their government ID.
- 3. Social Security Number: A unique identifier required for processing the application.
- 4. Date of Birth: The applicant's date of birth.
- 5. Address: The current residential address of the applicant.
- 6. Email Address: A valid email address for communication regarding the application.
- 7. Certification Route: The chosen path for certification as a nursing assistant.
- 8. Employer Information: Details about the applicant's current employment in healthcare.
What happens if I fail to submit this form?
Failing to submit this form will result in delays or denial of your examination eligibility. It's crucial to ensure all sections are completed accurately and thoroughly.
- Incomplete Application: An incomplete application may not be processed, leading to missed testing dates.
- Incorrect Information: Providing inaccurate information can result in disqualification from the examination.
- Missing Documentation: Omitting required legal documents can delay the application process.
How do I know when to use this form?
- 1. First-time Applicants: Individuals applying for the CNA exam for the first time need to fill out this form.
- 2. Name Update: Applicants who have legally changed their name must use this form to update their information.
- 3. Reciprocity Applicants: Those certified in another state wishing to practice in New York need to complete this form.
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