Get Il Dph Foreign Lpn Or Rn Application To Become An Illinois Certified Nurse Aide (cna) 2017-2026

Completing the IL DPH Foreign LPN or RN Application to become an Illinois Certified Nurse Aide (CNA) online is a straightforward process. This guide provides step-by-step instructions to ensure that you fill out the application accurately and completely.

Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to access the application. Open the document in your preferred editor to begin filling out the required information.
2. Enter today's date at the top of the form. Below this, include your full name, comprising your first name, middle name, and last name.
3. Provide your complete address, including street number, apartment number (if applicable), city, state, and ZIP code.
4. Fill in your Social Security number, email address, and telephone number.
5. Input your date of birth and specify the state(s) where you have previously been certified as a CNA, along with the name you used during certification.
6. If your current name differs from your certified name, attach legal documentation (e.g., marriage certificate or divorce decree) and a valid photo ID.
7. List any other names you have been known by and any states where you have lived or worked.
8. Answer the questions related to prior administrative findings of abuse, neglect, or theft by selecting 'Yes' or 'No.' If 'Yes,' provide the state where the finding was issued.
9. Complete the demographic information section regarding sex, race, height, and eye color. Note that this information is used solely for identification and background checks.
10. Attach photocopies of the required documents: your LPN or RN diploma, official transcript, and Social Security card, ensuring they are translated into English.
11. Indicate your U.S. citizenship status and, if applicable, attach proof of employment authorization.
12. Provide your consent for a fingerprint-based criminal history records check by signing the authorization section.
13. If applicable, provide details regarding any criminal convictions, as outlined in the form.
14. Review your application for completeness and accuracy before adding your signature and date at the bottom of the form.
15. Mail the completed application to the address specified in the form. Ensure you have all necessary documents attached.

Complete your application online today to take the next step in your nursing career.