D&S Diversified Technologies LLP Tennessee CNA Application Process || Company Home Page ||
|| TN Main Page ||
|| Contact us ||
Headmaster LLP
1. Complete Form 1101. Please print neatly and remember to double check your address, phone number, demographics, and social security number before signing the 1101. If there is missing information or it is not signed your application will be returned. Please check off box 1, 2, 3, or 4.
  • If you took the nurse aide training course in Tennessee within the last two years check Box 1. Please attach a copy of your Registration Roster from your training program. Rosters will not be returned.
  • If you are enrolled in a nursing program or have a military related nursing background, check Box 2 and attach a copy of your validated challenge approval letter issued by the Tennessee Department of Health. Challenge applications can also be obtained by calling 615-741-7173.
  • If your CNA certification on the Tennessee registry lapsed you must attach a copy of the Registration Roster from your training program that you completed within the last two years.
  • If you are certified in a State for which Tennessee does not accept reciprocity, attach your validated challenge approval letter issued by the Tennessee Department of Health. Challenge applications can also be obtained by calling 615-741-7173.
2. Complete Form 1402. If you choose a test date from our testing schedule, write your first choice and second choice under Option 1: Fixed Test Dates. You do not have to fill out Option 2: D&SDT Approved Flexible Test Sites. If you are testing in your facility, your facility will provide you with the information to fill out Option 2.
  • The State of Tennessee requires each candidate to take the written and skills tests on the same day. Under PAYMENT OPTIONS please mark the appropriate boxes. (One skills test consists of five skill tasks) Anyone wishing to fax their application will be charged the $5.00 Priority Fax Service and will need to write their credit card information on Form 1402.
  • Applicants wishing to test in less than 10 business days from the date D&S receives their application are required to pay $15 Express Service Fee and $19.50 Overnight Shipping. (Candidates testing at WebETest© sites only pay $15 Express Service Fee)
Important Notes
  • Incomplete applications will be returned to the candidate. (missing information, illegible applications, missing signature, missing payment or incorrect payment)
  • DO NOT send personal checks or cash.
  • We accept Money Orders, Cashiers Check, Facility Checks, Facility Purchase Orders, MasterCard™ and Visa™.
  • Applications must be received in the Findlay office 10 business days before the requested test date.
  • D&S will notify the candidate via mail or email of their test date and time. If you do not hear from D&S within 5 business days of sending your application, please call our toll free number at 1-877-201-0758.

|| Home ||  TN Main ||  Contact ||
Copyright © 2005, D&S Diversified Technologies, dba Headmaster, All rights reserved