Get Golden West College Nurse Assistant Certification Exam Registration Application 2022-2025

Filling out the Golden West College Nurse Assistant Certification Exam Registration Application online is an important step for those seeking certification. This guide provides clear instructions to ensure you complete the application accurately and effectively.

Follow the steps to complete your online application form easily.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your last and first name as required in the designated fields. Ensure that the information matches your official identification documents.
3. Provide your birthdate using the format MM/DD/YY as specified, selecting or typing the correct date.
4. Indicate your gender by selecting the corresponding option for either male or female.
5. Fill in your Social Security Number or Tax Identification Number in the provided field.
6. Enter your training program code or California Department of Public Health (CDPH) approval/sponsor code.
7. Specify your course completion date or the CDPH approval date, again using the MM/DD/YY format.
8. Select your first choice for the test location, followed by the test site code.
9. Indicate your requested test date using the MM/DD/YY format.
10. Provide a second choice for the test location, along with the test site code.
11. Specify your second requested test date using the MM/DD/YY format.
12. Complete your mailing address, including apartment number (if applicable), city, state, and zip code.
13. Include your phone number in the designated space.
14. Enter your email address, making sure it is valid and accessible.
15. Select the appropriate examination fees applicable to your situation: manual examination, retakes, or written oral examination.
16. Review your application to ensure all fields are complete and accurate. Remember to check the payment methods outlined.
17. Once everything is filled out correctly, save the form electronically, and prepare to download or print it for submission. Ensure that you submit all required materials with your application.

Complete your application online to begin your path towards certification.