Get Nursing Assistant Certified Endorsement Application Packet

Completing the Nursing Assistant Certified Endorsement Application Packet online is a straightforward process that requires careful attention to detail. This guide provides step-by-step assistance to help you navigate each section and submit your application confidently.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to access the application packet and open it for editing.
2. Begin by reviewing the contents list on page one to familiarize yourself with the components included in the packet.
3. Refer to the application instructions checklist on pages two and three. Ensure that you understand each requirement before proceeding.
4. Complete the 'Nursing Assistant Certified/Endorsement Credential Application' section. Fill in your demographic information, including your legal name, birth date, and Social Security number, as required under state and federal law.
5. Answer the personal data questions truthfully. If you answer 'yes' to any question, provide the necessary explanations and documentation as indicated.
6. Document your caregiver employment history by providing details of your last place of employment, including the address and duration of employment.
7. If applicable, have your Program Director complete the attestation section, or attach a copy of your training certificate.
8. In the 'Other License/Certification/Registration' section, list all relevant credentials from other states along with their statuses.
9. Complete the AIDS Education and Training Attestation, confirming that you have met the minimum training requirements.
10. Sign and date the Applicant’s Attestation to acknowledge that all provided information is true and accurate to the best of your knowledge.
11. Save your changes, then download or print the completed application for your records. When ready, mail the application along with any initial documentation and required fees to the provided mailing addresses.

Start filling out your Nursing Assistant Certified Endorsement Application Packet online today to ensure a smooth certification process.