To become a Certified Nursing Assistant (CNA), you generally need to follow these key steps:

1. Earn a High School Diploma or GED
   This is the minimum education requirement before starting CNA training

2. Enroll in a State-Approved CNA Training Program
   These programs are offered at community colleges, vocational/trade schools, high schools, medical facilities, or through organizations like the American Red Cross. The programs typically last from 4 weeks up to 6 months depending on the state and provider

 * Ensure the program is approved by your state’s nursing board and, if possible, accredited by the National League for Nursing Accredited Commission (NLNAC)

 * Some employers, such as hospitals or nursing homes, may offer free training if you commit to work for them afterward

3. Complete the Required Training Hours
   Training usually includes both classroom instruction and clinical practice, covering nursing fundamentals, anatomy, hygiene, nutrition, and infection control. The total hours required vary by state but often are around 70 to 105 hours

4. Pass the State CNA Certification Exam
   The exam has two parts:

   • A written (or oral) test with multiple-choice questions, usually completed in about 90 minutes.
   • A practical skills test where you demonstrate competency in clinical tasks, typically in a 30-minute session

5. Get Listed on Your State’s Nurse Aide Registry
   After passing the exam, you will be placed on the state registry, allowing you to work legally as a CNA

6. Find Employment
   CNAs work in hospitals, nursing homes, assisted living facilities, rehabilitation centers, hospices, and home care settings

Summary Table of Steps

Step| Description
---|---
1. Education| High school diploma or GED
2. Training| Complete state-approved CNA training program
3. Training Hours| Typically 70-105 hours including clinical practice
4. Certification Exam| Pass written and practical skills exam
5. State Registry| Get listed on state nurse aide registry
6. Employment| Work in healthcare settings

Additional Notes

• Costs vary: community colleges are generally more affordable than private programs or Red Cross courses, which can cost up to $2000

• Some states have no minimum age or education requirement beyond training completion, but most require at least a high school diploma or GED

• Some employers may offer paid training programs with a work commitment afterward

This pathway allows you to become a CNA without a college degree but requires formal training and certification to ensure competency and legal authorization to work in healthcare