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CNA Knowledge Exam Observer Affidavit and Confidentiality/Nondisclosure Agreement - $40.00

This application is to administer the CNA knowledge exam.

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Instructor/Program Director Login Request Form

This form is for South Dakota approved Certified Nursing Assistant Program Director/Instructor who would like to request access to TMU©.

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TEST REVIEW REQUEST AND PAYMENT FORM

This application is to request a review of your test results or dispute any other condition of your testing that you think altered the outcome of your test. You must submit a detailed explanation with this Test Review Request. We recommend calling D&SDT-HEADMASTER staff for a test results consultation before submitting this form with your test review fee. NOTE: Please refer to the Candidate Handbook ‘Test Review Requests’ section.

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ADA ACCOMMODATION REQUEST

In compliance with the Americans with Disabilities Act (ADA), the testing program provides reasonable accommodations for applicants with disabilities that may affect their ability to take the Competency Examination. For any questions, please call D&SDT-Headmaster at (800)393-8664.

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TEST SITE

This application is for Board-approved nurse aide training programs (NATP) that want to be approved to administer the CNA knowledge exam. If questions, email the South Dakota Board of Nursing at SDUAP@state.sd.us.

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DEMOGRAPHIC CHANGE/CORRECTION REQUEST FORM

This form is to update, change or correct the spelling of your name or update/correct your social security number in your TMU© account.

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NO-SHOW EXCEPTION FORM

Complete this form if you need to submit No-Show Exception documentation.

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Training Waiver for Nursing Student/Inactive Nurse

A nursing student, or a nurse who is no longer actively licensed, may apply to request an equivalency waiver to opt out of the 75-hour nurse aide training program (NATP) requirement.

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CNA Reinstatement by Examination

A CNA who does not have the CE or employment hours must retake the CNA knowledge exam and skills evaluation to be eligible to reinstate to an active status.

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