Certified Nursing Assistant Certification 
Endorsement Checklist

To assure that the endorsement applications are processed, the following may assist you in performing a final check of the endorsement application prior to your sending the application to the Board.

1. Do you have the appropriate application? Remember an Endorsement CNA application is completed only ONCE. If you have been certified as a CNA in Maryland in the past at any time, you will need a Renewal application instead of an Endorsement CNA application. 
2. Have all data fields on the Endorsement application been completed? See 
   Endorsement application instructions that accompany the Endorsement application.
3. Has the facility check or money order been attached to the endorsement 
   application? Personal checks are not accepted and will be returned with your application.
4.  Has a passport photo, full face 2x2 inches, been attached to the endorsement application?
5. Has the applicant signed the endorsement application?
6. Has the applicant had the fingerprints taken to initiate the CHRC Background Check and has the receipt verifying that the fingerprints have been taken been attached to the application? A 90-day temporary permit will not be issued unless evidence of the fingerprints being taken are submitted with the Endorsement application.
7. Has a copy of the current active certification card as a CNA from the out-of- state registry been attached to the endorsement application?

**** For any applicant who has answered “Yes” to any discipline question(s) – This application will be forwarded to the CNA Coordinator for Discipline.

*** The Endorsement application will be RETURNED to the applicant should all application requirements not be met.

DATA YOU WILL NEED TO PROVIDE THE BOARD IN ORDER FOR THE BOARD TO INVESTIGATE A DELAY IN CERTIFICATION:

• Name of applicant
• Social Security number
• State transferring from
• Date material was mailed to the Board

HOW TO CONTACT THE BOARD

• Ethel Stanley, Administrator, CNA Program, 410-585-1934 or estanley@dhmh.state.md.us 
• CNA Training Program Fax: 410-764-8042