How to Start an Administrator License Application

Create your account in the Applicant Portal

Choose:  "New user?  Apply Now"

For Administrator License Requirements, please review Article 2 of the Board Rules found at: https://nciaboard.az.gov/about/board-directory-rules

Frequently used forms:

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

For applicants needing to complete an Administrator-in-Training Program (AIT) in Arizona or for 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

Email: [email protected]
Cell: (702)-273-7800

AZ AIT Program Advisory Committee
1959 South Power Road, Ste 103-359
Mesa, AZ  85206