How to Start a Manager Certificate Application
Create your account in the Applicant Portal
Choose: "New user? Apply Now"
For Manager Certificate Requirements, please review Article 4 of the Board Rules found at: https://nciaboard.az.gov/about/board-directory-rules
ARTICLE 4: ASSISTED LIVING FACILITY MANAGER CERTIFICATION
R4-33-401. Requirements for Initial Certification by Examination:
A. Except as provided in subsection (B), an individual who wishes to receive an initial certificate by
examination as an assisted living facility manager shall:
1. Education:
a. Earn a high school diploma or G.E.D, or hold a license in good standing issued under
A.R.S. Title 32, Chapter 13, 15 or 17 or Article 2
b. Complete an assisted living facility caregiver training program that is approved by the
Board under Article 7 of this Chapter, and
c. Complete an assisted living facility manager training program that is approved by the
Board under Article 6 of this Chapter.
2. Work experience. Complete at least 2,080 hours of paid work experience in a health-related
field within the five years before application;
3. Examination. Obtain a score of at least 75 percent on the Arizona examination;
4. Training. Complete an adult cardiopulmonary resuscitation and basic first-aid training
program;
5. Fingerprint clearance card. Have a valid fingerprint clearance card issued under A.R.S. Title
41, Chapter 12, Article 3.1; and
6. Submit all applicable information required under R4-33-403.
B. An individual who holds a license in good standing issued under A.R.S. Title 32, Chapter
13, 15, or 17 or 4 A.A.C. 33, Article 2 is exempt from the requirements specified in
subsections (A)(1)(b) and (4).
Character Certification Form: https://nciaboard.az.gov/resources/character-certification-form
Paycheck Hours Worked Tracker: (can be used to tally hours on individual paystubs that are being submitted) https://nciaboard.az.gov/resources/paycheck-hours-tracker
Hours Worked Certification Form: (can be used when paystubs are not available but must be submitted with proof of pay, i.e., W2, 1099) https://nciaboard.az.gov/resources/hours-worked-certification-form
Board-Approved Manager Training and Caregiver Training Programs can be found at the Online Business Portal