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Get Certification Application (ca-19)
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How to fill out the Certification Application (CA-19) online
Filling out the Certification Application (CA-19) online can be a straightforward process when you understand each component of the form. This guide provides clear, step-by-step instructions to help you successfully complete the application, ensuring that you provide all necessary information.
Follow the steps to complete your Certification Application online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering your personal information in Section I. Fill in your social security number, date of birth, last name, first name, middle name, and maiden name. Indicate your gender and select whether you are applying for an initial issuance or renewal of your certification.
- Provide your mailing address, including city, state, and zip code, along with your telephone numbers and email addresses. Ensure that your contact information is accurate for any correspondence related to your application.
- In Section II, specify your district and position information. Write the district name, district code number, and certification requested. Additionally, include any relevant telephone and fax numbers for further verification.
- Complete Section III by ensuring your superintendent verifies your application for initial issuance. Obtain their signature and date on the relevant line. The superintendent should affirm that no qualified teachers are available for the position.
- As the teacher, provide your verification by signing and dating in the designated area in Section III. Acknowledge the need for ongoing training and coursework as indicated in the guidelines.
- If applicable, fill out Section IV for renewal verification. Ensure the superintendent signs and dates this section as well.
- Turn to Section V, where you will disclose any necessary background information. Answer all questions truthfully and attach any required documentation if necessary.
- Complete Section VI with your affirmation statement. Sign and date this area, certifying that all information provided is true and complete.
- Finally, ensure you have all required attachments, including official transcripts and curriculum guidesheets. After reviewing your application for accuracy, you can save your changes, download the completed form, print it, or share it as needed.
Start filling out your Certification Application online today!
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The program can be completed in 6-15 weeks and requires 50 hours of classroom training and 100 hours of clinical training, that will be under the direct supervision of a Licensed Practical Nurse (LPN) or a Registered Nurse (RN). Some accelerated programs offer 4-week CNA classes as well.
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