AA Certificate Online Application Process

(For AA's who have passed the CSRT AA Exam only)

Name as it will appear on the CCAA certificate*
Complete Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Professional credential*
Licensing Body*
Please Note: If you are working in an unregulated jurisdiction please type "Not Applicable"
Licensing Number*
Please Note: If you are working in an unregulated jurisdiction please type "Not Applicable"
Did you challenge and pass the CSRT AA Exam?*
- Yes
- No
Did you complete an accredited AA program?*
- Yes
- No
Applicants must commit to each of the following to be eligible for the CCAA certification. Please indicate that you commit to each requirement by checking the adjacent box:*
- I commit to remaining a member of the CSRT
- I commit to maintaining proficiency and professionalism as an anesthesia assistant.
- I commit to achieving 25 relevant continuing education credits each membership year.
CAPTCHA
We are sorry, but you are not eligible for this certification at this time. Please refer to the following page for more information on the eligibility requirements for this certification: CCAA Certifications