You must register and pay for the test in advance. No walk-ins will be permitted.
TMRI Testing Office will provide testing only for applicants who have completed the required Assisted Living Facility Core Training program.
The cost of the test is $200 and may be paid online by check or credit card at the time of registration.

All fields marked with an asterisk (*) are required to be completed.

 Personal Information


You must register for the test in the name that appears on your U.S. government issued ID ( e.g., a driver’s license, passport, or
state-issued ID card). If you arrive at the test site without proper identification, you will not be permitted to take the test.


* First Name:

* Last Name:
Middle Initial:  

* Address:

Apt. Number:


* City:

* State:
* Zip/Postal Code:


* Email:

* Contact Phone (No spaces, No dashes):

* Last 4 digits of SSN:

* Birth Date:
* Gender:

 26 hours of ALF Core Training Information



* Date Core Training Completed:

* Trainer's Name:


* Language of Core Training:
* I certify that was my in class/online trainer.


* Training Location: Please type the first and last name of your trainer above.

 Test Information

* Have you previously taken ALF test under different name?  
Please choose a Test Date, Test City, Test Language, and Test Session by clicking on the LookUp button below
Test Date Requested: City Requested:
Language Requested: Test Session:

 Agreement and Payment

By submitting this form,
  • I understand that test fees are non-refundable.
  • I understand that my late arrival for the test will forfeit my test fee.
  • I understand that my core training must be confirmed by an approved core trainer.
  • I understand that payment does not ensure a seat for the test until training is verified.
  • I understand that admission letters are mailed to confirmed applicants approximately one week prior to the scheduled test date
  • I understand that the time frame to take the test should be one calendar year from your originally scheduled test date, otherwise your test fee will be forfeited

Payment by mail does not ensure a seat for the requested date until payment is received.

To submit your form, please confirm the check box above.

      NOTE: These submit buttons will only be activated after you confirm the "I agree to the terms" check box above.