Submit New Application

Nursing Student Training Requirement Waiver 1101 Application

You are eligible to bypass the Ohio STNA training requirement if you meet the following criteria:

You are currently enrolled in an Ohio Board of Nursing approved pre-licensure program of nursing education, or you are enrolled in a program of nursing education in another state.
- If you are graduated from the program, you do not qualify.
You have successfully completed a fundamentals of nursing course (or equivalent) and can provide a transcript.

Legal First Name

Middle

Legal Last Name

Suffix

Birthdate

Phone

SSN

Gender

Male Female Other

Address

City

State

Zipcode

Transcript

Transcript Include a transcript from your school indicating your active enrollment and successful completion of courses that teach basic nursing skills including infection control, safety, emergency procedures and personal care.

Affidavit

I am currently enrolled in an Ohio Board of Nursing approved pre-licensure program of nursing education, or I am enrolled in a program of nursing education in another state.
I have successfully completed a fundamentals of nursing course (or equivalent) and have provided a transcript.

By Submitting

I hereby verify that I understand and agree with the statements contained herein and the above information is true and correct.

June

SunMonTueWedThuFriSat

293031123456789101112131415161718192021222324252627282930123456789