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Massachusetts Certified Nursing Assistant Examination …

1 2021 Prometric. All rights reserved. Massachusetts Certified Nursing Assistant Examination Application Instructions Please go to to print the current version of this application and all other forms. DO NOT submit photocopies as this may impact the ability to process the application. Incomplete, blurred or illegible forms will not be processed. To apply online please go to: All submitted applications must include the Payment Form at the end of the application. Please mail completed, original forms to Prometric, ATTN: LA Nurse Aide Program, 7941 Corporate Drive, Nottingham, MD 21236.

Assistant Examination Application Instructions ... • I understand that a record of the successful completion of this competency evaluation and information from and contained ... medical or other condition that would be affected in any way by my participation in the exam. I

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