Request to Take the Competency Evaluation Program (CEP) Based on Completion of Approved Nurse Aide T 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your email address at the top of the form. This is essential for communication regarding your application.
3. Fill in your full name, including last, first, and middle names. If applicable, include your maiden name and any other surnames.
4. Provide your date of birth in the format mm/dd/yyyy and enter your Social Security Number for identification purposes.
5. Complete your address details, including street, city, state, and ZIP code. Also, provide both home and daytime telephone numbers.
6. Indicate the name and address of the nursing school you attended, along with the dates you were enrolled.
7. Sign and date the form to confirm that all information provided is accurate.
8. Attach proof of completion of an HHSC approved Nurse Aide Training Program as a notarized photocopy.
9. If necessary, include documentation for any name changes that differ from what is listed on your certificate.
10. Review all entries for accuracy before emailing the completed form and required documents to Regulatory_NATCEP@hhs.texas.gov.

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