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This guide provides clear and comprehensive instructions for filling out the application for the New Hampshire Nursing Assistant License online. Follow these steps to ensure a smooth submission process and compliance with all requirements.

Follow the steps to correctly complete the application for the New Hampshire Nursing Assistant License.

1. Press the ‘Get Form’ button to access the application form and open it for editing.
2. Begin by entering your personal information in the designated fields, including your last name, first name, middle initial, and any other names used.
3. Fill in your home mailing address, email address, city or town, state, zip code, date of birth, and phone number. Ensure accuracy in each entry.
4. Provide your Social Security number in the required format, ensuring you include the correct numbers.
5. Answer the questions regarding any disciplinary actions, impairments, felony convictions, or mental or physical problems in the designated sections. If any questions are answered with 'yes', attach a letter of explanation.
6. Complete the details about your nursing assistant program, including the name and date of completion.
7. Indicate whether you have taken a Written and Clinical Competency Test within the last two years and provide the necessary documentation if applicable.
8. Attach verification of your nursing-related work experience and continuing education hours as required.
9. Review the application to ensure all fields are filled out completely and correctly; incomplete applications will be returned.
10. Sign and date the application to certify that the information provided is accurate, and keep a copy for your records.
11. Submit the completed application along with the applicable fees to the Board of Nursing address mentioned in the instructions.

Start your online application for the New Hampshire Nursing Assistant License today to ensure compliance and timely processing.