Skip to Main Content

Nursing Assistant (CNA) | Pre-Application Instructions

FVTC's Nursing Assistant program is approved by the Wisconsin Department of Health Services. In order to complete the course you need to participate in a clinical experience.  All clinical agencies require completion of a background check and specific health requirements. This information needs to be sent to the agency prior to the class starting. 

To make it easier to fulfill these requirements, we've grouped them into two steps.

Step 1 | Pre-Application & Background Check Forms

Step 1A: Pre-Application Form:

  • General Information
  • Technical Standards Statement 
  • $75 Payment for Pre-Application Process and E*Value access. (Unless you have a sponsor code which you'll be asked to provide.)

Step 1B: Background Check Information Form: 

  • Information/Form for FVTC to order a Background Check on your behalf will be sent to your email after completing Step 1A.  Please complete the Background Check Information Form within 24 hours to avoid background check order delays.

Nursing Assistant Pre-Application Checklist
Download and print your checklist to track your progress
Nursing Assistant Pre-Application Checklist (PDF)

Step 2 | Complete & Upload Health Information

After Steps 1A & 1B are complete:

  • A letter will be mailed to your address within 3-5 business days with your FVTC email address and Student ID number.
  • Once you receive this information, please log in to your FVTC email account to access instructions for uploading your health requirements documents.

Print, complete, scan & upload these forms:

  • TB Testing (2 step) 4 visits (PDF)
  • Annual Influenza (required if class dates are from 11/1 through 3/31 or enrolling during this time) Please note: Clinical sites have the right to require annual influenza vaccination past this timeframe.

Term Start Dates

Explore Upcoming Classes 

Search For Classes

1. Select Class Search
2. Select Appropriate Term
3. Enter Nursing Assistant in search box

Term Start Dates
Fall 2018: August 23, 2018
Spring 2019: January 21, 2019 
Summer 2019: June 3, 2019


  • STEP 1A: Payment (or sponsor code) is also needed to submit the form. PayPal/Credit Cards accepted. The $75 pre-application fee is non-refundable.
  • STEP 1B: Your Social Security number is required to complete your background check. If your background report includes prior charges, the information will be reviewed by a clinical site prior to your application advancing to class registration. 
  • STEP 2: Some of these tests and immunizations require more than one visit. It may take up to 6 weeks to complete the health work needed to go to clinical so starting those as soon as possible is a good idea. Specific dates and provider verified proof is needed to complete these forms.
  • Checking your FVTC email is important. Login & upload instructions will be sent to you via email within 4 business days of your Pre-Application submission. Results of your background check will be sent via email if your background report includes prior charges.

These steps must be completed before you can be admitted into the Nursing Assistant program and registered for class.



We're invested in your success! Completing the pre-application requirements in a timely manner is the best way to start your new career.

Please contact us if you have any questions: