ALF Core Competency Test Online Application

 

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:
     
       

 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 e-mails are sent to confirmed applicants approximately one week prior to the scheduled test date
  • I understand that TMRI does not re-scheduled tests except for medical emergencies.




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.