Faith Forward Texas CNA Renewal

Faith Forward Texas CNA Renewal Portal

Please first pay the $69 fee using the Wix payment button on the Faith Forward CNA renewal page, then complete and submit this intake form. Staff will verify your Wix payment receipt or transaction number before processing your packet, and this form will not collect card data or charge your card.
CNA Information

Before you begin: Have your completed and notarized Form 5506-NAR ready to upload. You will also need the email address associated with your TULIP account. Do not enter your TULIP password anywhere on this form.
Wix payment receipt or transaction number
Email used for Wix payment
Enter the email address used at checkout
Full Legal Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email Address
example@example.com
Mobile Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
CNA Certificate / Registry Number
Current Expiration Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Employment Verification
Most Recent Employer Name
Employer Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Employer Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Currently Employed There?
CNA In-Service / CEU Completion
Texas CNA renewal requires completion of approved in-service education during the renewal period. Please complete the Faith Forward-linked modules, retain your CEU/training certificates for your own records, and keep documentation of your completed training in case it is requested by the Texas state agency.
Attestation of Required In-Service Education/Training
Renewal Readiness Checklist
I have completed the required in-service/CEU modules
I have attested that I completed at least 24 hours of required in-service education/training for my Texas CNA renewal
I provided accurate employer information
I understand additional employer verification may be required
I understand incomplete documentation may delay processing
Authorization and Acknowledgment
Authorization to Assist with CNA Renewal
Accuracy Confirmation
State Agency Approval Acknowledgment
Processing Timeline Acknowledgment
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
WHAT HAPPENS NEXT?
Faith Forward will review your submitted CNA renewal packet and payment to confirm all required documents and information have been received. If anything is missing or incomplete, we will contact you and the renewal cannot move forward until the missing items are received. Once everything is received and verified, Faith Forward will prepare the renewal documents and assist with completing and submitting the CNA renewal application in TULIP for processing by the Texas state agency. After the TULIP renewal application has been successfully submitted, state processing generally takes about two weeks for approval and for the renewed CNA status to be updated on the Texas Nurse Aide Registry. This is only an estimated timeframe, and Faith Forward cannot guarantee the exact approval date. Please monitor your email and TULIP account for any state notices or requests for additional information. Once the renewal appears on the Texas Nurse Aide Registry, please verify that your renewed status is correct. Faith Forward will assist throughout the process, but final renewal approval and registry posting are controlled by the applicable Texas state agency.
Please upload your completed Form 5506-NAR. It must be notarized and filled out completely and accurately, or it will delay your approval or cause an initial denial. * Most people fill this form out INCORRECTLY because employment dates are wrong or listed outside of the renewal timelines. Ensure your employment dates are WITHIN the two year review period, from last renewal until expiration date. (not outside of those dates).
NOTARIZED 5506 NAR form

Cancelof
Electronic Signature
Should be Empty:

Faith Forward Texas CNA Renewal Portal

CNA Information

Employment Verification

CNA In-Service / CEU Completion

Renewal Readiness Checklist

Authorization and Acknowledgment

WHAT HAPPENS NEXT?