Educator Licensing - Nurse Assistant

Nurse Assistant
Endorsement Application - PDF

Note: Please complete interactive PDF form electronically.  Once completed, print and send in form as outlined in application instructions.

Minimum Endorsement Requirements

• Existing CTE/APP or CTE License, and
• Direct work-related experience, and/or
• Education that equals a total of at least six (6) years, and
• A current First Aid Certification or equivalent, and
• A current CPR Certification or equivalent.

The Nurse Assistant Endorsement allows an educator to teach the following course:

• Nurse Assistant (CNA)

Complete the following to apply for this endorsement or SAEP:

• Select the endorsement needed and download the application form.
• Fill out the form, including university/college course numbers, to indicate that minimum requirements in each area have been met.
• Indicate whether you are applying for an endorsement.
• Attach a copy of your transcripts and highlight corresponding classes.
• Attach copies of letters to verify employment.
• Attach copies of test scores, current professional certifications, licenses or other documentation requested by the state specialist.
• Do not send letters of reference.
• Send the highlighted transcripts, professional certifications, and completed form, along with the appropriate processing fee (see information above), to:

Utah State Office of Education
ATTN: Stephanie Ferris
Educator Quality and Licensing
250 East 500 South
P O Box 144200
Salt Lake City, UT 84114-4200

Updated January 22, 2010