LIC 9214 - Application for Administration Certification - Administrator Certification Program

Form LIC 9214 is used by individuals seeking administrator certification in the care facility setting in California. This form serves as an application for the Administrator Certification Program and collects information about the applicant's qualifications, experience, and educational background. By completing this form and submitting it to the appropriate authority, individuals initiate the process of obtaining administrative certification, which is often required for managerial positions in care facilities such as assisted living facilities or residential care homes.