New York Certified Nursing Assistant Examination Application
This document is the New York Certified Nursing Assistant Examination Application. It includes detailed instructions on how to complete the application, required fields, and submission guidelines. Use this form to apply for the nursing assistant certification examination in New York.
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How do I fill this out?
To fill out this application, carefully read and follow the provided instructions. Ensure all required fields are completed accurately. Submit the completed form along with any necessary documentation.
How to fill out the New York Certified Nursing Assistant Examination Application?
1
Go to the provided URL to print the current version of the application.
2
Complete all required fields on the form.
3
Attach necessary documentation, such as payment form and legal documents if applicable.
4
If requesting ADA accommodations, include the completed ADA Accommodations Request Packet.
5
Mail the completed application to the specified address.
Who needs the New York Certified Nursing Assistant Examination Application?
1
New nursing aides who need to get certified.
2
Individuals applying for reciprocity or CNA from another state.
3
Graduate nurses seeking certification.
4
RNs and LPNs licensed in the U.S. who want to add CNA certification.
5
Foreign-trained nurses who need to get certified in New York.
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What are the instructions for submitting this form?
To submit this form, complete all required sections and attach any necessary documentation. Mail the completed application to Prometric, ATTN: NY Nurse Aide Program, 7941 Corporate Drive, Nottingham, MD 21236. For additional assistance, visit www.prometric.com/NurseAide/NY. Ensure that all information is accurate and that the form is submitted before any applicable deadlines to avoid delays in processing and scheduling your exam.
What is the purpose of this form?
This form's primary purpose is to facilitate the application process for candidates seeking certification as nursing assistants in New York. It ensures that applicants provide all necessary information and documentation required for evaluation and approval. The structured format of the form aims to streamline the submission process and help candidates meet all prerequisites.
Tell me about this form and its components and fields line-by-line.
- 1. Candidate Information: Includes personal details such as name, social security number, address, and email.
- 2. Current Nursing Home Employment Status: Information about the candidate's current employment status and job details.
- 3. Certification Option/Eligibility: Allows candidates to indicate their certification route and eligibility status.
- 4. Training Information: Details about the candidate's training program, including program code and completion date.
- 5. Employment Information: Requires input from the employer about the candidate's employment details, including the facility code and date of hire.
What happens if I fail to submit this form?
Failure to submit this form may result in the inability to take the certification exam. Without proper submission, candidates will not be considered for certification.
- Ineligibility: Not being able to sit for the exam due to incomplete or missing application.
- Delays: Possible delays in processing and scheduling the certification exam.
- Forfeited Fees: Risk of losing any fees paid for the application process without a refund.
How do I know when to use this form?
- 1. New Nurse Aides: For those who are newly trained and seeking certification.
- 2. Reciprocity Applicants: For nurse aides already certified in another state.
- 3. Graduate Nurses: For newly graduated nurses applying for CNA certification.
- 4. RNs and LPNs: Licensed RNs and LPNs in the U.S. who need CNA certification.
- 5. Foreign-Trained Nurses: For nurses trained outside the U.S. seeking certification in New York.
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