Foreign LPN or RN Application to Become an Illinois Certified Nurse Aide (CNA) 2025

1. Click ‘Get Form’ to open the Foreign LPN or RN Application in our editor.
2. Begin by entering today’s date, followed by your full name, including first, middle, and last names. Ensure this is typed clearly.
3. Fill in your address details accurately, including street, apartment number (if applicable), city, state, and ZIP code.
4. Provide your Social Security Number and contact information such as email and telephone number.
5. Indicate your date of birth and the states where you have been certified as a CNA. If your name has changed, attach legal documents supporting this change.
6. Complete the demographic section regarding sex, race, height, and eye color for identification purposes.
7. Answer questions regarding any administrative findings of abuse or criminal offenses. Provide detailed explanations if applicable.
8. Attach photocopies of required documents such as your nursing diploma and proof of citizenship or residency status.
9. Review all entered information for accuracy before signing the application at the bottom and dating it.
10. Finally, mail the completed form to the specified address provided in the document.

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