This spreadsheet can be used when submitting individual paycheck stubs to calculate hours worked.

Request for a Copy of Original Certificate or License

To change your mailing address fill out the attached form and follow the instructions to submit the form. 

Please review the attached document for instructions prior to starting your application for an Administrator License.

For applicants needing to complete an Administrator-in-Training Program (AIT) in Arizona or need information on how to become an AIT Preceptor, please contact:

Administrator-in-Training Program Advisory Committee
Arizona Chapter, American College of Healthcare Administrators
Misti Valentino-AIT PAC Chair
Cell: (702)-273-7800
[email protected]

Link to forms used for the Manager Certificate Application

Arizona Statement of Citizenship Form: https://nciaboard.az.gov/resources/statement-citizenship-form

Character Certification Form: https://nciaboard.az.gov/resources/character-certification-form