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MONTANA NURSE AIDE CHALLENGE APPLICATION

This application is only to be compled by candidates who did not fail their most recent Montana Nurse Aide competency exam attempt, or those who have been previously certified.

Waiver Student
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Primary Nurse Aide Training Instructor Login Request Form

This form is for DPHHS-approved Primary Nurse Aide Instructors in Montana who would like to request access to TMU©.

Instructor
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DEMOGRAPHIC CHANGE/CORRECTION REQUEST FORM

This form is to update, change or correct the spelling of your name or update/correct your social security number in your TMU© account.

Waiver Student
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TRAINING VERIFICATION REQUEST FORM - $25.00

Please use this form is to request a copy of your Montana Nurse Aide Training Verification.

Waiver Student
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RN Test Observer | Test Administration Services Entity (TASE) Agreement - $100.00

Application to be certified as an RN Test Observer/Test Administration Services Entity (TASE) for Nurse Aide Competency Exam testing services in the state of Montana.

Observer
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Actor Training Affidavit and Confidentiality/Nondisclosure Agreement

Application to be certified as an Actor for Montana nurse aide competency testing.

Actor
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Knowledge Test Proctor (KTP) Training Affidavit and Confidentiality/Nondisclosure Agreement

Application to be certified as a Knowledge Test Proctor (KTP) for Montana nurse aide competency testing.

Proctor
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IN-FACILITY RN TEST OBSERVER AGREEMENT - $100.00

Application to be certified as an In-Facility RN Test Observer administering the Nurse Aide Competency Exam in Montana as a regular part of my duties.

Observer
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TEST REVIEW REQUEST AND PAYMENT FORM - $25.00

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 the $25 non-refundable test review fee and 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.Your test review request has been denied. Please refer to the final determination of the review emailed to you.

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.

Waiver Student
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