Get Oregon Cna Endorsement Form

Completing the Oregon Cna Endorsement Form online can be a straightforward process if you follow the necessary steps carefully. This guide will walk you through each section of the form to ensure that your application is completed accurately and efficiently.

Follow the steps to fill out the Oregon Cna Endorsement Form online.

1. Click ‘Get Form’ button to obtain the Oregon Cna Endorsement Form and open it in the online editor.
2. Begin filling out your personal information at the top of the form, making sure to include your last name, first name, middle name, social security number, and date of birth. Ensure that all details are accurate and typed clearly.
3. Indicate your contact details, including your mailing address, email address, and phone number. This information is crucial for communication regarding your application.
4. Provide information about your nursing assistant training program, including the name of the program and the completion date. Attach a copy of your training certificate.
5. Answer the eligibility questions regarding your current CNA certification status and any previous certifications in Oregon. Include details about your work history as a certified nursing assistant over the past two years.
6. If applicable, provide written explanations for any 'yes' answers to the background questions related to criminal history or disciplinary actions on a separate sheet.
7. Review the application to ensure all required sections are completed and information is accurate. An incomplete application may delay processing.
8. Sign and date your application to certify that the information is correct and truthful.
9. After completing the form, save your changes, and consider downloading or printing a copy of the application for your records.
10. Submit the application along with the applicable fees by mailing all documents to the Oregon State Board of Nursing for processing.

Complete your Oregon Cna Endorsement Form online today to begin your certification process!