Upload a saved copy of your completed NA Enrollment Agreement
Please ensure your ID is legible and includes your full name and photo. This is required for identity verification and enrollment purposes.
Upload a clear scan or photo of your Social Security Card. Please ensure your Social Security Number is fully visible. This is required to verify your eligibility for the course.
Please upload a clear photo or scan of your COVID-19 Vaccination Card. This is required for CNA clinical training at Skilled Nursing Facilities to ensure safety.
Upload a clear, professional headshot photo with good lighting and a plain background. This will be used for your student ID badge. Avoid selfies or photos with filters.
Please upload your completed CDPH 283 B form (Nurse Assistant Initial Application). This form is required by the California Department of Public Health to start the Nurse Assistant certification process.
Please upload a clear photo or scan of your Live Scan Form
Please upload a clear photo or scan of your Physical Examination Form
