**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**
1
Have you satisfactorily completed a course such as geriatric nursing assistant? If you respond YES to this question, please upload a copy of the certificate and a list of the course material (transcript) to the application.
Yes
No
2
Describe your experience providing housekeeping and personal care services to clients. This experience must also be reflected on your application. If you do not have this type of experience, please indicate N/A in the text box.