Account Applications Apply

Knowledge Only Test Proctor (KTP) Training Affidavit and Confidentiality/Nondisclosure Agreement (allows you only to administer the Knowledge portion of the CNA exam)

This application is for those who ONLY wish to administer the Knowledge portion of the exam. If you will be administering both the Knowledge and the Skills exam, please do not complete this application. Instead, you will need to complete the Test Observer application. If you have any questions, please contact the South Dakota Health Care Association (SDHCA) office via email at luannseverson@sdhca.org or call the SDHCA office at (800) 952-3052.

Proctor

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Resident Actor Training Affidavit and Confidentiality/Nondisclosure Agreement

Application to be certified as a Resident Actor for South Dakota nurse aide competency testing. If you have any questions, please contact the South Dakota Health Care Association (SDHCA) office via email at luannseverson@sdhca.org or call the SDHCA office at (800) 952-3052.

Actor

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NEW TEST OBSERVER APPLICATION (allows you to administer both the Knowledge and Skills portions of the exams) - $89.95

Application to be certified as a Test Observer for Nurse Aide Competency Exam testing services in South Dakota. If you have any questions, please contact the South Dakota Health Care Association (SDHCA) office via email at luannseverson@sdhca.org or call the SDHCA office at (800) 952-3052.

Observer

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Instructor/Program Coordinator Login Request Form

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

Instructor

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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.

Waiver Student

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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.

Waiver Student

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TEST SITE

This application is for Facilities who would like to become approved Nurse Aide Test Sites. Please email the South Dakota Health Care Association (SDHCA) at luannseverson@sdhca.org or call the SDHCA office at (800) 952-3052 if you have any questions.

Facility

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