Friday, August 01, 2014
  License - Application Forms 

   

Checklist for Applicants

 

o    All candidates must complete Application, pages 2-4

o    Request Official Transcript (s) showing minimum of BA/BS

o    Current Resume – Work History

o    Academic Course – Practicum Requirements 
Complete one of the following Licensure Tracks:

·  Option A: New Graduate from Minnesota or NAB LNHA program with examinations

·  Option B: Applicant with experience/course waivers, with examinations

·  Option C: Endorsement: LNHA/Administrator of Record in two of previous five years

·  Option D: ACHCA Certification

o    Check: $150.00 payable to BENHA ($100.00 if $50.00 course review fee was paid within past year - paper application only, $100 option is NOT available online.)

o    If currently or previously licensed in another state(s), send a License Verification Request to each jurisdiction (contact each state board regarding any applicable fee).

o    ONLINE Application is now available (link at left). Print and review instructions at left before you begin the application process.

   

2829 University Ave SE Suite 404, Minneapolis, MN 55414-4202
(651) 201-2730   FAX: (651) 201-2763
Hearing/Speech Relay: (800) 627-3529
Comments? email
benha@state.mn.us

The Minnesota Board of Examiners for Nursing Home Administrators is an affirmative action / equal opportunity employer.
The Board does not discriminate in employment on the basis of race, color, creed, religion, national origin, sex, marital status,
disability, public assistance, age, sexual orientation, or membership on a local human rights commission.

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