Enter the name, state abbreviation and license number of the directing RN or LPN: Full Name State License # Yes No I affirm (swear) I have 24 hours of in-service training (within the CNA scope of practice) in
Should I furnish any false information in this application I hereby agree that such act shall constitute cause for denial, suspension or revocation of my certificate/license to practice as a Certified Nursing Assistant in the State of Florida.
NURSE AIDE REGISTRY CNA RENEWAL State Form 49937 (R/3-05) Indiana State Department of Health-Division of Long Term Care On an annual basis, the employer must inform the Indiana State Department of Health (ISDH) Nurse
Jackson (TN) C: Southwest Airlines: Austin, Baltimore, Birmingham (AL), Boston [begins August 12, 2012], Charleston (SC), Chicago-Midway, Cleveland, Text is available under the Creative Commons Attribution-ShareAlike License; additional terms may apply.
– If yes, indicate the type and number of license/certificate: Yes. No. Yes. No. 1. You have previously received and maintained clearance for Certified Nurse Assistant (CNA), Home Health Aide (HHA),
GA NURSE AIDE CERTIFICATION —FREQUENTLY ASKED QUESTIONS QUESTION ANSWER 8. Is a background check required for employment as a Certified Nurse Aide?
Primary state of residence means your home for legal purposes shown on your driver's license, voter registration, or federal income tax forms. Q. I am a Certified Nurse Assistant (CNA). Can I use the online renewal system?
Booklet Real Estate Licensing in North Carolina (available online) prior to completing the application. An applicant for a reciprocal license must submit a properly completed original
• Be government-issued (e.g., driver’s license, alien registration card, military Note You may verify the status of a certified nursing assistant by calling the Arkansas automated Registry service at 501.682.8484 or going online to www.prometric.com/NurseAide/AR.
Licensee: Angel Gieske, Unlicensed, Loretto, TN Violation: Practicing without a license Action: CNA Certification Revoked, Placed on State Abuse Registry Individual: Patsy Bailey, CNA, Huntingdon
Also to determine the status of your Tennessee nurse aide certification, you may either log onto www.state.tn.us /health and click on License Verification, or you -If your CNA certification on the Tennessee registry lapsed you must attach a copy of the Registration Certificate from your training
Pre-employment screening is a necessary hiring practice to avoid lawsuits and costly hiring mistakes. Gone are the days of a simple reference check and a few phone calls to screen new employees. Amid security concerns, corporate scandals, and workplace violence, pre-employment screening has been
ME, MO, MS, NE, NH, NM, NC, ND, RI, SC, SD, TN, TX, UT, VA, WI), you should not apply for licensure in AZ unless you Are you currently under investigation or is a discipli nary action pending against your nursing license, CNA certificate or any . other license or certification you hold
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CERTIFIED NURSE ASSISTANT (CNA) RECIPROCITY APPLICANTS FROM OTHER STATES. If the CNA certification is active and in good standing on another state's registry, applicant may qualify for certification in California without taking
Renew your license online July 1 through October 31, 2008! * McBrearty, Tracy A. Rehn TN RN #113728 Clarksville, TN Eff. 04/01/08 • LPN’s • CNA’s • CMA’s • Surg, Rad & Ultrasound
With lifts and transfers as necessary; CNA license encouraged but NOT required; must pass a PFT 1,000.00 Washington TN 21 TN8397479 Certified Nursing Assistant Gray 12 12 18 PFT 8.00
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E-mail: email@example.com Web Site: www.nursing.alaska.gov APPLICATION FOR CERTIFIED NURSE AIDE BY ENDORSEMENT Nashville, TN 37247-0508 (888)-310-4650 TEXAS TX Dept. of Human Services
If you have held an active CPA license in another state since the time your Utah CPA license expired, and if this CPA license is currently active in Avenue N., Ste. 700, Nashville, TN 37219-8469. Candidates can also email CPAES at firstname.lastname@example.org or call 1-800-CPA-EXAM (8 a.m. – 6 p.m
To verify your CNA number or that your expiration date has been extended, call 1-800-452-3934. The Texas Nurse Aide Registry will return (without action) incomplete requests and requests without the required documents.
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