Interstate Application Form (Page 2 of 2) in pdf

Interstate Application Form Page 2

Candidates Please Note:

Candidates will receive an “Approval to Test” letter in the mail. This will allow a nursing facility to employ you as a

Nurse Aide Trainee II for a single four-month period beginning on the initial approval date on the bottom of your

Approval to Test letter. The trainee II period is one time only, and the initial approval will not change. There Will

Be No Extensions.

2. You must present two forms of Identification, with one being a picture I.D. to be admitted to test.

3. You must be able to provide your social security number on the test for identification.

4. You must be on time.

5. If you are late, or fail to appear at your scheduled test, you MUST call (785) 296-6958 to request a rescheduling form

which requires an additional fee of $20.00.

6. If special accommodations are needed, you MUST submit the candidates “Accommodation Request Evaluation Form”

with this application. The form can be obtained from our website:

7. Nurse aide certificates are issued three to four weeks after the test date to those who achieve a score of seventy-five

percent (75%) or higher on the nurse aide test.

8. The Kansas nurse aide test may be taken only one time based on certification in another state. Any candidate who

fails the test on the first attempt must enroll in a Kansas state-approved nurse aide training course. You then have

two remaining opportunities to pass the test within one year from the endorsement approval date designated on your

approval letter.

9. Test scores may be requested by writing to the address listed below.

Health Occupations Credentialing, KDADS

612 S Kansas Ave

Topeka, Kansas 66603-3404

(785) 296-1240

Interstate Application Form Page 2