Get Regional Testing Center

Filling out the Regional Testing Center registration application is an important step for candidates seeking nurse assistant certification. This guide provides clear, step-by-step instructions to help you navigate the process smoothly and efficiently.

Follow the steps to complete your registration application accurately.

1. Click the ‘Get Form’ button to access the registration application and open it in your document editor for online completion.
2. Enter your last name, first name, and middle initial in the designated fields. Ensure accuracy in spelling, as this information is important for your registration.
3. Fill in your birthdate using the MM/DD/YY format. This section helps verify your identity.
4. Provide your social security number. This information is required for processing your application.
5. Enter the appropriate center code in the designated field, which is necessary for the examination site.
6. Indicate the name of your requested test site and include the test site code if applicable. This information is critical for scheduling your examination.
7. Specify the requested test date and your course completion date or CDPH approval date, again using the MM/DD/YY format.
8. Provide your mailing address, including apartment number, address, city, state, and zip code. Ensure all information is accurate for proper correspondence.
9. Enter your phone number in the specified format to ensure the Regional Testing Center can reach you if necessary.
10. Prepare your payment. You will need to send a money order or cashier’s check, payable to the Regional Testing Center. Remember, personal checks or cash are not accepted.
11. Indicate if you have ever been convicted of a crime. Choose ‘Yes’ or ‘No’ to comply with registration requirements.
12. Complete the ethnicity/race section as applicable. This information is used for demographic purposes.
13. Select your current employment status as a nurse assistant and provide your employment experience duration.
14. If applicable, provide information regarding your pass/fail status for previous testing with the Red Cross, along with the exam dates.
15. Review all entered information for accuracy and completeness. Once confirmed, sign and date the application at the bottom.
16. Save your changes to the document, and when ready, you can print it, download it, or share it as needed.

Complete your Regional Testing Center registration application online today to ensure timely processing!