Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Enter your legal last name, legal first name, and suffix (if applicable) in the designated fields.
3. Fill in your middle initial and birthdate using the MM/DD/YY format.
4. Provide your social security number and CA training program ID number or sponsor ID from the California Department of Public Health (CDPH).
5. Indicate the end date of your CNA training or the CDPH approval date, ensuring it follows the MM/DD/YY format.
6. List your first choice for test location, including the test site number and test date in the MM/DD/YY format.
7. If desired, provide a second choice for test location, including the corresponding test site number and test date.
8. Fill out your mailing address, including apartment number (if applicable), address, city, state, and ZIP code.
9. Enter your phone number and email address in the provided fields.
10. Select the applicable exams and associated fees, ensuring you understand each cost indicated.
11. Provide information on your ethnicity/race and gender as specified.
12. If you have tested with the Red Cross in the past two years, include the pass/fail information and exam dates.
13. Review the form carefully to ensure all information is accurate and complete to avoid any delays.
14. Once completed, save your changes, download, and print the form as needed. Prepare the necessary payment and additional documentation required for submission.

Complete your registration process online today and ensure your place for the CNA exam!