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Click ‘Get Form’ to open the Mail application & fees to CNA EXAM REGISTRATION FORM in the editor.
Begin by entering your legal last name, first name, and suffix if applicable. Ensure accuracy as this information must match your identification documents.
Fill in your middle initial and birthdate using the MM/DD/YY format. This is crucial for identification purposes.
Provide your Social Security Number and CA Training Program ID # or Sponsor ID from CDPH. Double-check these entries for correctness.
Indicate the end date of your CNA training or CDPH approval date, again using the MM/DD/YY format.
Select your first and second choice test locations along with their respective test dates, ensuring they are formatted correctly.
Complete your mailing address, including apartment number (if applicable), city, state, and zip code.
Fill in your phone number and email address for communication regarding your registration.
Review all sections carefully before submitting. Incomplete forms will be returned, so ensure every field is filled out accurately.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (172 Votes)
2015	4.1 Satisfied (55 Votes)

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