Your 2025 Guide to CNA Certification in New Hampshire: Top Programs, State Requirements, Exam & Salary Insights for the Granite State

Quick Summary: Ready to build a solid healthcare career in the scenic Granite State? Becoming a Licensed Nursing Assistant (LNA) in New Hampshire is a direct pathway to making a significant impact on people's lives. This in-depth guide walks you through every essential step: understanding New Hampshire's specific licensing requirements (including criminal background checks and training hours set by the New Hampshire Board of Nursing - NHBON), finding NHBON-approved training programs, mastering the state competency exam (often administered by a Board-designated vendor like Headmaster/D&S Diversified Technologies or Pearson VUE), and exploring salary expectations across New Hampshire. We've included realistic scenarios, information on financial aid (like WIOA and potential state grants), and crucial tips for career advancement (including Medication Nursing Assistant - MNA) and maintaining your license with required work hours and continuing education. Whether you're new to healthcare or seeking a new vocational direction, this resource is your roadmap for a successful LNA career in New Hampshire.

Introduction: Your Path to Becoming an LNA in New Hampshire

"Live Free or Die" – and build a career helping others! Welcome to your comprehensive guide to becoming a Licensed Nursing Assistant (LNA) in the State of New Hampshire. If you're seeking a direct entry into the healthcare field, driven by a compassionate spirit and a desire to assist others in the picturesque communities of the Granite State, this is an excellent starting point. This guide is specifically designed for aspiring LNAs in New Hampshire, covering everything from understanding the LNA role and the specific requirements set by the New Hampshire Board of Nursing (NHBON), to finding approved training programs, preparing for the state competency exam, and exploring career opportunities throughout New Hampshire. Let's embark on your journey to this essential profession.

1. What is a Licensed Nursing Assistant (LNA)?

In New Hampshire, individuals performing duties commonly associated with a Certified Nurse Aide (CNA) in other states are known as Licensed Nursing Assistants (LNAs). An LNA is a valued and indispensable member of the healthcare team who provides crucial direct care to patients and residents in various settings, under the supervision of licensed nursing staff such as Registered Nurses (RNs) and Licensed Practical Nurses (LPNs). LNAs in New Hampshire focus on individuals' basic needs, comfort, and safety, often forming strong, supportive relationships with those they care for. Key responsibilities typically include:

Assisting patients with Activities of Daily Living (ADLs) such as bathing, dressing, grooming, toileting, and eating.
Taking and accurately recording vital signs (temperature, pulse, respiration, blood pressure, and often pain levels).
Helping patients with mobility, including transferring, walking, and repositioning to prevent complications like pressure sores.
Observing patients' physical and mental conditions and promptly reporting any significant changes to the supervising nurse.
Providing companionship, emotional support, and promoting patient rights, dignity, and independence.
Maintaining a clean, safe, and organized environment for patients.

The LNA role in New Hampshire demands physical stamina, empathy, excellent communication skills, and careful attention to detail. It offers a profoundly rewarding experience and serves as a solid foundation for individuals looking to advance their careers in nursing or other healthcare fields within the Granite State.

2. Job Outlook & Demand for LNAs in New Hampshire

The demand for LNAs in New Hampshire is significant and projected to remain strong. This trend is influenced by New Hampshire's aging population, the healthcare needs of its communities, and the continuous need for direct care providers in long-term care facilities, hospitals, assisted living facilities, and home health services across the state. According to the U.S. Bureau of Labor Statistics (BLS), employment for nursing assistants is projected to grow steadily nationwide, and New Hampshire's healthcare sector reflects this consistent need.

New Hampshire Employment Security (NHES) also projects a positive outlook for nursing assistants, with job openings arising from both new job creation and the need to replace workers who retire or move to other occupations. This ensures a steady demand for qualified and compassionate LNAs in New Hampshire.

3. Understanding Local LNA Demand Across New Hampshire

LNA job opportunities are available throughout New Hampshire, with specific needs and concentrations varying by its more populated southern tier and rural northern regions:

Southern New Hampshire (Hillsborough, Rockingham Counties): Cities like Manchester, Nashua, Concord, and Portsmouth have the highest concentration of hospitals (e.g., Elliot Hospital, Catholic Medical Center in Manchester; Dartmouth-Hitchcock Medical Center (Lebanon, though influential statewide), Concord Hospital), numerous skilled nursing facilities (SNFs), and assisted living communities, leading to a high volume of LNA openings.
Seacoast Region: This area also has a strong healthcare presence and demand for LNAs.
Lakes Region & White Mountains: While more seasonal for some industries, healthcare needs are year-round, with regional hospitals and nursing homes requiring LNAs.
Western & Northern New Hampshire (Coos, Grafton, Sullivan, Cheshire Counties): Critical Access Hospitals (CAHs) and small nursing homes in these more rural areas are vital and consistently need LNAs. These roles often require versatility and a strong community connection.

Exploring New Hampshire-specific job boards (like the NHES Job Match System) and connecting with local healthcare providers and training programs can provide insights into regional demand.

4. LNA Salary & Benefits in New Hampshire

Average Compensation

LNA salaries in New Hampshire are generally higher than the national average, reflecting the state's cost of living, particularly in the southern and seacoast areas. According to the U.S. Bureau of Labor Statistics (BLS) for May 2023, Nursing Assistants in New Hampshire earned a mean hourly wage of $21.11, which translates to an average annual salary of approximately $43,910.

Salaries can vary by location within New Hampshire (southern NH often offers the highest wages), years of experience, and facility type (hospitals often pay more than some smaller facilities), and unionization. Entry-level positions might start in the $18-$20/hour range, while experienced LNAs in high-demand settings or specialized roles could earn $24/hour or more.

Pay by Setting (Typical New Hampshire Estimates)

Setting	Average Hourly Wage Range (NH)
Hospitals (especially Unionized)	$20.00 – $27.00+
Skilled Nursing Facilities (SNFs) / Long-Term Care	$19.00 – $25.00
Home Health Agencies / Assisted Living	$18.50 – $24.00 (plus potential mileage if applicable)

Note: These are general estimates. Always research specific employers and regions within New Hampshire.

Shift Differentials & Overtime

Many New Hampshire healthcare facilities offer shift differentials (e.g., an extra $1.50-$4.00/hour) for evening, night, weekend, or holiday shifts. Overtime pay (typically 1.5 times the regular rate for hours over 40 in a week, as per New Hampshire and federal labor law) can also significantly increase earnings.

Common Benefits Packages

Full-time LNAs in New Hampshire, particularly in larger institutions or unionized environments, often receive benefits packages that may include:

Health, dental, and vision insurance
Retirement plans (e.g., 401(k), New Hampshire Retirement System for public employees)
Paid time off (vacation, sick leave, holidays)
Tuition reimbursement or assistance programs
Life insurance and disability coverage

5. New Hampshire LNA Licensing Requirements

To become a Licensed Nursing Assistant (LNA) in New Hampshire and be listed on the New Hampshire Nurse Aide Registry, you must meet specific requirements set by the New Hampshire Board of Nursing (NHBON). Key requirements include:

Age: You must be at least 16 years old to enroll in an LNA course. Employment may require you to be 18.
Complete an NHBON-Approved Training Program: You must successfully complete a Nursing Assistant Training Program (NATP) approved by the NHBON. This involves a minimum of 100 total clock hours, which includes:
- A minimum of 40 hours of classroom instruction covering theory and laboratory practice.
- A minimum of 60 hours of supervised clinical training in an NHBON-approved healthcare facility (typically a skilled nursing facility or hospital). Federal regulations require at least 16 hours of foundational classroom instruction *before* any direct resident contact.
Pass the Competency Evaluation Examination: After completing training, you must pass the New Hampshire Nurse Aide Competency Exam. This exam is often administered by a Board-designated testing vendor like Headmaster/D&S Diversified Technologies or Pearson VUE (confirm current vendor with NHBON) and includes both a Written (or Oral) examination and a Skills demonstration.
Criminal Background Check: You must undergo and pass a criminal history record check, which includes fingerprinting for both a New Hampshire State Police check and a Federal Bureau of Investigation (FBI) check. This is a condition for licensure. Certain convictions may disqualify you from licensure.
Application for Licensure: You must submit an application for LNA licensure to the NHBON, along with required fees, proof of training completion, exam passage, and fingerprint/background check results.
Social Security Number: A valid U.S. Social Security Number is required for licensure and registry purposes.

Always verify the most current and detailed requirements with your chosen NHBON-approved training program and the New Hampshire Board of Nursing (NHBON) website (under Nursing Assistant section), and the website of the current testing vendor.

6. Finding NHBON-Approved LNA Training Programs in NH

It is absolutely essential to select a Nursing Assistant Training Program (NATP) that is approved by the New Hampshire Board of Nursing (NHBON). Only graduates of NHBON-approved programs are eligible to take the state competency exam and apply for licensure. The NHBON maintains a list of approved programs on its website. Common providers in New Hampshire include:

New Hampshire Community Colleges: Several colleges within the Community College System of New Hampshire (CCSNH) offer NHBON-approved LNA programs (e.g., Manchester Community College, Nashua Community College, NHTI - Concord's Community College, White Mountains Community College, Great Bay Community College).
Private Postsecondary Vocational Schools & Career Institutes: Some private schools in New Hampshire offer NHBON-approved LNA training. Ensure you verify their approval status carefully.
Healthcare Facilities (Skilled Nursing Facilities - SNFs & Hospitals): Some SNFs and hospitals offer their own NHBON-approved NATPs, sometimes at a reduced cost or free with an employment commitment.
American Red Cross: Chapters in New Hampshire may offer NHBON-approved LNA training programs.
Career and Technical Education (CTE) Centers: Some New Hampshire high school CTE centers offer NHBON-approved LNA training.

When choosing a program in New Hampshire, consider:

NHBON Approval: This is non-negotiable. Verify directly with NHBON or through their online list of approved programs.
Cost & Financial Aid: Inquire about tuition, fees for fingerprinting/background check, TB test, books, uniform, state exam fee, NHBON application fee, and available aid (Pell Grants, WIOA via NH Works, state grants, employer sponsorship).
Schedule & Duration: Programs vary from intensive full-time (e.g., 4-8 weeks) to part-time evening/weekend options.
Location & Clinical Sites: Factor in commute times, especially in more rural parts of the state.
State Exam Pass Rates: Ask the program about their graduates' success rates on the competency exam.
Job Placement Assistance: Some programs offer support with resume writing and connecting with New Hampshire employers.

You can find the official list of NHBON-approved LNA training programs on the NHBON website (typically under "Education Programs" or a similar section for Nursing Assistants).

7. What to Expect from Your New Hampshire LNA Program Structure & Duration

All NHBON-approved Nursing Assistant Training Programs (NATPs) in New Hampshire must provide a minimum of 100 total clock hours of instruction and training. This is generally structured as follows:

Classroom Instruction and Laboratory Practice (minimum 40 hours): This portion covers theoretical knowledge and hands-on skills practice in a simulated lab setting. Federal regulations (42 CFR §483.152) require that at least 16 hours of this instruction, covering specific foundational topics like communication, infection control, safety, resident rights, and basic care, must be completed *before* students have any direct contact with residents. The NHBON provides specific curriculum guidelines that programs must follow. Topics generally include:
- Introduction to resident care, the LNA role in New Hampshire, ethics, legal aspects, resident rights, and prevention of abuse and neglect.
- Communication and interpersonal skills with residents, families, and the healthcare team.
- Infection control, standard precautions, and safety/emergency procedures.
- Basic human anatomy, physiology, and body mechanics.
- Personal care skills (bathing, hygiene, grooming, dressing, toileting).
- Nutrition, hydration, and elimination needs.
- Vital signs measurement and recording.
- Care for residents with cognitive impairments (e.g., dementia/Alzheimer's) and mental health needs.
- Restorative care and promoting resident independence and well-being.
Supervised Clinical Training (minimum 60 hours): This hands-on portion must be conducted in an NHBON-approved clinical setting, usually a skilled nursing facility (long-term care facility) or hospital. Students apply their learned skills under the direct supervision of an NHBON-approved instructor (typically an RN or LPN with specific qualifications).

Program Duration:

Full-Time Programs: Can often be completed in as little as 4 to 8 weeks, depending on the daily hours.
Part-Time Programs (Evenings/Weekends): May take 2 to 4 months or longer to complete.

Regardless of the format, all approved programs are designed to thoroughly prepare students for the New Hampshire LNA Competency Exam and for safe, effective, and compassionate practice as an LNA in the Granite State.

8. The New Hampshire LNA Competency Exam: What You Need to Know

After successfully completing your NHBON-approved NATP, you must pass the New Hampshire Nurse Aide Competency Evaluation Examination to become licensed. This exam is often administered by a Board-designated testing vendor such as Headmaster/D&S Diversified Technologies or Pearson VUE (always confirm the current vendor with NHBON). It consists of two parts, both of which must be passed:

1. Written (or Oral) Examination

Consists of a set number of multiple-choice questions (e.g., Headmaster typically uses 75 questions; Pearson VUE for NNAAP® also has a standard number, usually around 60-70).
Tests your knowledge on topics covered in your training program, such as safety, infection control, resident rights, basic nursing skills, and communication.
You will have a specific time limit (e.g., 90 minutes to 2 hours) to complete this examination.
An oral (audio) version is available in English if requested in advance during the application process.

2. Skills Evaluation

You will be asked to perform five randomly selected nursing assistant skills.
One of the skills will always be Hand Hygiene. The other four are randomly selected from the official New Hampshire skills list provided by the testing vendor.
A Nurse Evaluator will observe and score your performance based on critical steps for each skill. You must pass all five skills.
You will have a specific time limit (check the Candidate Handbook, typically around 30-40 minutes depending on selected skills) to complete all five skills.

Attempts & Retakes: In New Hampshire, you generally have up to three attempts to pass both parts of the exam within 24 months (two years) from completing your training program (or as specified by NHBON/testing vendor). If you fail one part, you only need to retake that part. If you do not pass both parts within the allowed attempts or timeframe, you must complete a new NHBON-approved 100-hour training program.

On Exam Day: Arrive on time. You MUST bring two forms of current, signature-bearing identification (one must be a government-issued photo ID, e.g., driver's license, state ID, passport). Names must match exactly. A signed Social Security card is often required. Wear appropriate attire (usually scrubs, flat non-skid enclosed shoes) and a watch with a second hand.

Always refer to the latest New Hampshire LNA Candidate Handbook from the NHBON-designated testing vendor for the most current exam policies, procedures, skill lists, fees, and testing site information specific to New Hampshire.

9. Getting Licensed & Listed on the NH Nurse Aide Registry

Initial Licensure & Registry Listing

After successfully passing both the Written (or Oral) Examination and the Skills Evaluation, and after the NHBON has received and processed your application for licensure including proof of training, exam passage, and cleared fingerprint/background check results, the NHBON will issue your LNA license. Your name will then be placed on the official New Hampshire Nurse Aide Registry. Employers in New Hampshire are required by law to verify your active license status through this registry before hiring you as an LNA. You can check your status online via the NHBON License Verification portal.

Maintaining Your License: Renewal

Your New Hampshire LNA license is valid for two years (24 months) and must be renewed to remain active.

Work Requirement: You must have worked for pay, performing nursing or nursing-related services under the supervision of a licensed nurse, for at least 200 hours within your most recent two-year licensure period.
Continuing Education Units (CEUs): You must complete twelve (12) hours of approved Continuing Education Units (CEUs) *each year* of your two-year licensure period, for a total of twenty-four (24) CEUs for renewal. These CEUs must be relevant to nursing assistant practice.
Criminal Background Check: A new state and federal criminal background check is required for each renewal.
Renewal Application & Fee: You must submit a renewal application and fee to the NHBON before your license expires. This is typically done online through the NHBON portal. You will attest to meeting the work, CEU, and background check requirements.

If you do not meet all renewal requirements (work hours, CEUs, AND background check), your license will lapse. To reinstate a lapsed license, you may need to retake the competency exam and/or meet other NHBON requirements depending on how long it has been lapsed.

Out-of-State LNAs/CNAs: Endorsement (Reciprocity)

If you are an LNA/CNA licensed/certified in another state and your license/certification is active and in good standing (no findings of abuse, neglect, or misappropriation of resident property), you can apply for New Hampshire licensure by "Endorsement." You'll need to complete an application for endorsement through the NHBON, provide verification from your original state(s) of licensure/certification, submit fingerprints for a background check, and show proof of meeting New Hampshire's training hour requirements (100 hours) or equivalent. If your credentials meet New Hampshire standards, you may be granted New Hampshire licensure without retaking the competency exam.

10. Real Stories: LNA Journeys in New Hampshire

Liam's Start in Manchester

Liam, living in Manchester, was eager to begin a healthcare career. He enrolled in an NHBON-approved LNA program at Manchester Community College. The fingerprinting for the background check was a crucial early step. After diligently studying and passing his state exams, Liam was hired by a large hospital in Manchester. "The program emphasized both technical skills and person-centered care. Keeping up with my 200 work hours and 24 CEUs for renewal, plus the background check, is important," he shares.

Olivia's Career Change in the Seacoast

Olivia, a resident of Portsmouth, decided to switch from a hospitality job to healthcare for more stability and personal fulfillment. She found an NHBON-approved program offered by a local career school. "The instructors were excellent in preparing us for the skills exam, ensuring we knew every critical step," Olivia notes. She now works at a skilled nursing facility in Dover and appreciates the difference she makes in residents' lives.

Noah's Path in the White Mountains

Noah, wanting to serve his community near Conway, completed an LNA training program offered through a partnership between a local hospital and a CTE center. "The hands-on clinical experience in our small town nursing home was invaluable. Learning to care for neighbors with dignity and respect was a core part of the training," he explains. He now works at the local Critical Access Hospital, valuing the close-knit team environment.

11. A Day in the Life of a New Hampshire LNA

The daily routine of an LNA in New Hampshire, whether in a bustling Manchester hospital, a Seacoast nursing home, or providing care in a rural community, centers around providing direct, compassionate, and skilled patient care:

Beginning of Shift (e.g., 0700 / 1500 / 2300):
- Clock in, receive report from the off-going shift about resident assignments, conditions, care plan updates, and any specific needs or instructions.
- Make initial rounds, greet residents, and assess immediate needs and safety.
Morning/Daytime Care:
- Assist with ADLs: bathing, dressing, oral hygiene, grooming, toileting, ensuring resident choice and dignity are respected.
- Serve meal trays, assist with feeding if necessary, monitor food/fluid intake, provide fresh water and snacks as per care plan.
- Take and record vital signs (temperature, pulse, respirations, blood pressure, pain level) accurately.
- Change bed linens, maintain room cleanliness and organization, ensure call lights are accessible and safety precautions are in place.
- Assist with mobility: ambulation, transfers using proper body mechanics and assistive devices, range-of-motion exercises, repositioning to prevent skin breakdown.
Throughout the Shift:
- Respond promptly and courteously to call lights and resident requests.
- Observe residents for any changes in condition (physical, mental, emotional, behavioral) and report findings to the licensed nurse immediately.
- Provide emotional support, active listening, and opportunities for social interaction. Document significant interactions.
- Accurately document all care provided, observations, and intake/output according to facility policy and NHBON regulations.
- Follow infection control protocols strictly (e.g., hand hygiene, use of PPE).
End of Shift:
- Ensure residents are comfortable, safe, and their needs are met before leaving.
- Complete all charting thoroughly, accurately, and in a timely manner.
- Provide a comprehensive, factual report to the oncoming LNA/shift.
- Clean and restock supplies as needed.

New Hampshire LNAs play a vital role, requiring compassion, strong observational skills, adaptability, adherence to state and federal regulations, and a dedication to person-centered care.

12. Frequently Asked Questions (FAQs) for Aspiring New Hampshire LNAs

Is a fingerprint-based criminal background check mandatory for LNA licensure in New Hampshire?

Yes, absolutely. You must submit fingerprints for both a New Hampshire State Police and FBI criminal background check for initial licensure and each renewal, as required by the New Hampshire Board of Nursing (NHBON).

How many work hours and Continuing Education Units (CEUs) are needed to renew my New Hampshire LNA license?

For renewal, you need proof of at least 200 hours of paid employment performing nursing-related services under licensed nurse supervision and 24 hours of approved CEUs (12 per year) within your 24-month licensure period, plus a new fingerprint-based background check.

Can I work as an LNA in New Hampshire while waiting for my exam results or background check clearance?

You cannot work as a Licensed Nursing Assistant until you have passed the state competency exam, cleared the required background checks, and your license is issued by the NHBON and listed as active on the New Hampshire Nurse Aide Registry. Federal law allows facilities to employ individuals who have completed training for up to 120 days while pursuing certification, but they are not yet licensed.

What happens if I let my New Hampshire LNA license lapse?

If your license lapses because you didn’t meet the 200 work hours, 24 CEUs, and background check requirements, you cannot work as an LNA. To reinstate, you must meet current NHBON requirements, which may include retaking the competency exam and/or completing additional CEUs, depending on how long your license has been lapsed.

How do I transfer my out-of-state CNA/LNA license to New Hampshire (Endorsement/Reciprocity)?

Apply for endorsement with the NHBON by submitting the endorsement application, verification of your active, good-standing out-of-state license, proof your training met New Hampshire’s 100-hour minimum, and completing a New Hampshire fingerprint-based background check. If your credentials meet state standards, you may be licensed without re-testing. See the NHBON website for details.

13. Tips for Success in Your LNA Training and Career in NH

Master the State Skills List: Practice every skill meticulously according to the official New Hampshire Candidate Handbook. Pay close attention to critical steps, measurements, and verbal cues.
Complete Fingerprinting & Background Check Promptly: This is a critical step for NHBON licensure and renewal.
Attendance is Key: NHBON-approved programs have strict attendance policies for the 100 required hours. Be present, punctual, and engaged.
Study Consistently: Review class material regularly. Form study groups and utilize practice questions for the written exam.
Professionalism & Strong Work Ethic: New Hampshire employers value reliability and dedication. Punctuality, appropriate attire, respectful communication, and a positive attitude are essential.
Track Work Hours & CEUs Diligently for Renewal: This is critical in New Hampshire. Keep accurate records and certificates for your 200 work hours and 24 CEUs for renewal with the NHBON.
Stay Updated with NHBON: Keep your contact information current with the NHBON and regularly check their website for any updates to regulations or renewal processes.
Prioritize Patient Safety & Rights: These are fundamental aspects of LNA practice in New Hampshire and are heavily emphasized in training, NHBON regulations, and on the exam.

14. Advancing Your Career: Paths Beyond LNA in New Hampshire (MNA)

Your New Hampshire LNA license is an excellent launching pad. Many LNAs in New Hampshire pursue further education and advance to other healthcare roles:

Medication Nursing Assistant (MNA): New Hampshire offers a specific license for MNAs. Experienced LNAs can complete additional NHBON-approved training (typically 60+ hours including clinicals) and pass a state exam to become licensed to administer certain medications in specific settings (primarily nursing homes) under nurse supervision. This requires separate licensure and renewal.
Licensed Practical Nurse (LPN): A common next step. LPN programs in New Hampshire (e.g., at several CCSNH colleges) typically take 10-12 months. The New Hampshire Board of Nursing regulates LPNs.
Registered Nurse (RN): Pursue an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an NHBON-approved program (e.g., University of New Hampshire, Saint Anselm College, Keene State College, various CCSNH colleges).
Medical Assistant (MA): With additional training from an accredited program, LNAs can transition to MA roles in clinics and physician offices throughout New Hampshire.
Patient Care Technician (PCT) / Hospital Technician: New Hampshire hospitals, especially larger ones, often hire LNAs and provide specialized on-the-job training for them to become PCTs, performing a broader range of skills.
Healthcare Administration or Education: With experience and additional education, LNAs can move into supervisory roles, staff development, or teaching in NATPs.

Many larger healthcare employers in New Hampshire offer tuition assistance or reimbursement programs to support employees in advancing their education.

15. LNA Training Costs & Financial Aid in New Hampshire

LNA training costs in New Hampshire can vary depending on the program provider, but several state and federal initiatives can help offset these costs:

Program Type	Typical Tuition Range (NH)	Additional Fees (Fingerprinting/Background Check, Books, Uniform, Exam, NHBON App, etc. Estimate)	Common Financial Aid Options
Community College System of NH (CCSNH)	$1,000 – $2,000 (Non-credit, short-term certificate costs vary)	$200 – $500 (Fingerprinting/NHBON fees can be notable)	WIOA (via NH Works), Pell Grants (if part of a larger eligible program), college-specific scholarships, NH Charitable Foundation grants.
Private Vocational School	$1,200 – $2,800+	$250 – $550	School scholarships, WIOA, payment plans, private loans.
Facility-Based (SNF/Hospital) Training	Often Free or Low Cost (if offered by an approved facility to prospective employees, sometimes with an employment commitment. May be reimbursed by facility after employment per federal law if facility is Medicare/Medicaid certified).	Minimal or covered by facility	Employer-sponsored/reimbursed.

Key New Hampshire Financial Aid & Cost-Saving Tips:

WIOA (Workforce Innovation and Opportunity Act): Contact your local NH Works center for information on training grants for in-demand occupations like LNA.
New Hampshire Charitable Foundation: May offer scholarships for healthcare training.
Employer Reimbursement/Sponsorship: Federal law requires Medicare/Medicaid certified nursing homes to pay for or reimburse LNA training and testing costs for individuals they employ or offer employment to within 120 days of employment or 4 months of starting training. Always ask potential employers about this.
FAFSA (Free Application for Federal Student Aid): Complete this if your LNA program is part of a larger, Pell-eligible program at a college.
College Financial Aid Offices: Inquire directly with training programs about any institutional scholarships or grants they offer.

Always request a detailed breakdown of ALL costs before enrolling: tuition, fees for the fingerprinting and background check, NHBON application fee, textbooks, uniform, necessary supplies, physical exam/TB testing, CPR certification (if not included), and the state exam fee.

Conclusion: Start Your LNA Journey in New Hampshire Today!

Becoming a Licensed Nursing Assistant (LNA) in New Hampshire offers a direct and accessible route to a rewarding healthcare career, providing opportunities for personal and professional growth while making a tangible difference in the lives of Granite Staters. New Hampshire has a consistent and growing demand for skilled, compassionate LNAs. By thoroughly understanding New Hampshire's specific licensing requirements (especially the CEU and fingerprinting mandates for renewal), selecting a quality NHBON-approved training program, preparing diligently for the state competency exam, and committing to the renewal process, you will be well-positioned for a successful and fulfilling career.

Your journey begins with taking that first step. We encourage you to use the resources outlined in this guide to research programs in your area of New Hampshire and start the process of becoming an invaluable member of New Hampshire's dedicated healthcare workforce.

Visit the New Hampshire Board of Nursing (NHBON) website for official program information, applications, license verification, and links to current testing vendor information. An essential role in New Hampshire's healthcare system is waiting for you!

References & Further Reading (New Hampshire)

U.S. Bureau of Labor Statistics, Occupational Outlook Handbook, "Nursing Assistants and Orderlies" — www.bls.gov/ooh/healthcare/nursing-assistants.htm
U.S. Bureau of Labor Statistics, Occupational Employment Statistics, "May 2023 State Occupational Employment and Wage Estimates New Hampshire - 31-1131 Nursing Assistants" — www.bls.gov/oes/current/oes_nh.htm#31-1131
New Hampshire Board of Nursing (NHBON) - Office of Professional Licensure and Certification (OPLC) — NHBON Website (Official regulatory body)
New Hampshire Employment Security (NHES) - NH Works — NH Works
New Hampshire Department of Safety - Division of State Police - Criminal Records — NH State Police Criminal Records
Community College System of New Hampshire (CCSNH) — www.ccsnh.edu/