Board of Examiners of Nursing Home Administrators: Applications and Documents

Nursing Home Administrator (NHA) Applications & Forms

Licensure

• Nursing Home Administrator - Original License by Exam or Endorsement (Apply Online)
  • Online Exam/Endorsement Application Checklist
• Nursing Home Administrator - Reinstate Expired License(Apply Online)
  • Online Reinstatement Application Checklist

Forms & Exam Information

• Nursing Home Administrator - Experience Verification
• State Specific NHA Examination Candidate Handbook

Administrator-in-Training (AIT)Applications & Forms

Licensure

• Administrator-in-Training - Original License (Apply Online)
  • Online Application Checklist
• Administrator-in-Training - Application for Approval

Forms

• Administrator-in-Training - Experience Verification Form
• Administrator-in-Training - Monthly Report Form
• Administrator-in-Training - Preceptor Statement Form
• Administrator-in-Training - Program Plan Recommendations

Temporary Hospital Administrator (TNHAP) & Nursing Home Administrator (NHATPE) Applications and Forms

Licensure

• Apply Online for a Temporary License
  • TNHAP Online Application Checklist
  • NHATPE Online Application Checklist

Forms

• Emergency Situation Form

Qualification Flow Charts

Flow Chart

• Qualifications - Administrator-in-Training Program
• Qualifications - Licensure by Examination
• Qualifications - Licensure by Endorsement
• Qualifications - Reinstatement of an Expired License
• Qualifications - Temporary License (Hospital Administrator)
• Qualifications - Temporary License (Emergency Situations)