Key Points
- North Dakota's CNA median wage is $44,190, topping national pay.
- Low-cost community college CNA training starts below $700.
- The state employs 6,920 nursing assistants across rural and urban areas.
Top CNA programs in North Dakota: compare costs, schedules, and certification requirements.

Employer-sponsored training or a community college course: that is the first fork prospective nursing assistants in North Dakota face, and it shapes everything from out-of-pocket cost to how quickly you can start working. Programs at schools like Bismarck State College and North Dakota State College of Science run 75 to 80 hours and charge between roughly $650 and $1,200, while many long-term care facilities across the state will train you for free in exchange for a work commitment.
With a median CNA wage of $44,190 in North Dakota and steady demand driven by an aging rural population, the return on even a modest training investment is hard to beat. The real question is which program format, location, and price point fits your situation.
North Dakota's CNA training landscape pairs short, affordable programs with clear preparation for the state certification exam. These six standouts differ in format, prerequisites, and financial support, so compare the cards below before you choose.
Wahpeton, ND · $6,000 – $7,000/yr (est.)
Best for: Self-paced learners wanting hybrid flexibility
North Dakota State College of Science runs its CNA program through the Workforce Affairs division in Wahpeton. The 75-hour course mixes online or self-paced theory with 16 hours of in-person skills training, and fees land between $650 and $750 before the separate $250 certification exam fee. Students appreciate the ND Department of Health approval and possible Job Service North Dakota scholarships.
Bismarck, ND · $10,000 – $15,000/yr (est.)
Best for: Cost-conscious aspiring CNAs in Bismarck
Bismarck State College combines a low starting price of $689 for non-credit students with a 76-hour hybrid format that blends online theory and monthly in-person sessions. The program includes classroom, practical, and clinical components, and requires a TB test plus the ability to lift 50 pounds. Veterans receive priority, and graduates can sit for the state exam.
Williston, ND · $5,000 – $10,000/yr (est.)
Best for: Working adults needing blended scheduling
Williston State College's CNA training uses a blended model with self-paced online instruction and a two-week in-person classroom and clinical block at TrainND Northwest. Total training costs $1,200, plus $200 for state testing, and students complete 28 lab hours and 24 clinical hours. The program is designed for skilled care facilities and home healthcare settings.
Devils Lake, ND · ~$14,000/yr (est.)
Lake Region State College's 80-hour, face-to-face CNA course in Devils Lake combines theory, skills labs, and simulated clinical instruction. It is a non-credit workforce training option through TrainND Northeast, so students do not need general college admission. The college is also the lead institution for North Dakota's Registered Nursing Apprenticeship pathway, making this CNA a possible first step toward LPN and RN progression with employer tuition support.
Valley City, ND · $12,000/yr (est. net price)
Valley City State University offers a 15-credit Healthcare Aide Certificate with separate CNA, CCT, and EMT tracks on its campus. The coursework covers English, math, computer literacy, medical terminology, and hands-on training tailored to the certification goal. Graduates are prepared for licensure testing and entry-level roles such as home health aide or direct support professional.
New Town, ND · ~$10,000/yr (est.)
Nueta Hidatsa Sahnish College in New Town runs an 8-week Certified Nurse Assistant program through the NACTEP cohort model. Tuition is $900 per semester with books and fees around $250, and eligible students can access childcare assistance, mileage aid, and a monthly stipend. Tribal ID and a current class schedule are required for admission.
Nursing assistants in North Dakota earn a median wage of $44,190 per year, well above the national median for this role.
Many North Dakota CNA programs offer flexible scheduling options for students balancing work, family, or other commitments. The key is knowing where to look and what to ask. Start with official resources and then reach out directly to training providers to find a schedule that works for you: day, evening, weekend, part-time, or hybrid.
The North Dakota Board of Nursing maintains a current list of approved CNA programs on its website. That list is your first stop; it confirms which programs meet state standards. While the list may not spell out every schedule type, it provides the contact points you need.
Use the approved list to identify community colleges and technical schools near you. Then, call their admissions offices or program coordinators. Specifically ask about: - Evening and weekend cohorts: Many schools run sessions outside typical work hours. - Part-time tracks: Some programs break the curriculum into smaller chunks spread over a longer term. - Online or hybrid formats: Didactic (classroom) portions may be offered remotely, but all North Dakota programs require a hands-on clinical component; nobody can complete CNA training entirely online.
Federal guidelines require formal training plus supervised clinical practice, as noted by the Bureau of Labor Statistics (BLS.gov). Calling schools directly is the best way to confirm how they package that for non-traditional learners.
The North Dakota Health Care Association (NDHCA) often provides training directories and can connect you with long-term care facilities that sponsor or host flexible CNA programs. Because many employers need CNAs, they may offer in-house training with schedules built around shift work. Checking the NDHCA site can reveal options you would not find through a simple web search.
If you find a program advertising hybrid online CNA classes, email the coordinator to ask two questions: (1) How are clinical hours arranged locally? (2) What are the application requirements for part-time or hybrid enrollment? A legitimate online component will still require an in-person clinical rotation at a partnering facility, often arranged near your community. Reputable programs will spell this out clearly and help you plan accordingly.
Once you complete a state-approved CNA training program in North Dakota, the next step is passing the certification exam and getting listed on the state Nurse Aide Registry. The process is straightforward, but it helps to know what to expect before you start.
Before you can schedule your exam, you must finish a program that meets North Dakota's minimum training standards: 75 total hours, including at least 16 hours of hands-on clinical experience in a patient care setting. This aligns with federal regulations and ensures you have both the knowledge and practical skills to test confidently.
The certification exam is administered by Headmaster (D&S Diversified Technologies). It has two parts: - Knowledge test: A 72-question written or oral exam covering essential nursing assistant concepts. You need at least 75% to pass.3 - Skills demonstration: You perform randomly selected CNA skills in front of an evaluator. This is graded pass/fail based on proper technique and safety.
You must pass both sections to qualify for the registry. If you don't pass one section, you can retest later, just that portion, with additional fees.
The standard exam fee is $220, which covers both parts.1 Opting for an audio version of the knowledge test raises the cost to $240. If you test at an external site instead of a designated Headmaster location, the fee is $260 (or $285 for audio). Retest fees are $110 for the knowledge portion and $160 for skills.1 Registration is handled through your training program or in person at a regional testing center. Test sites are available in cities across North Dakota, including Bismarck, Fargo, Grand Forks, Minot, Dickinson, and several others.
After passing both exam sections, your name is placed on the North Dakota Nurse Aide Registry. This confirms your CNA certification status and is required for employment. To stay active, you must renew every two years by providing proof that you worked as a paid CNA for at least eight hours during that period. There is no fee to renew, but failure to meet the work requirement means retesting.3
Many long-term care facilities and hospitals in North Dakota will cover your exam fees if you commit to working for them after certification. Ask about this during the hiring process, it can save you over $200 right when you're starting out.
Becoming a Certified Nursing Assistant in North Dakota follows a clear, five-step path. Here is what you need to do to earn and keep your certification.

CNA training in North Dakota costs far less than many people assume, with community college programs starting under $700 and free employer-sponsored pathways readily available.
In North Dakota, tuition for CNA programs is affordable compared to many other states, such as CNA classes in South Dakota. Community colleges and technical centers usually charge between $500 and $1,000, while private training providers may run from $1,000 up to $2,500. Here's a snapshot of current prices based on available 2026 data: - Bismarck State College (non-credit, in-person): $6891 - Bismarck State College (non-credit, hybrid): $7191 - Trinity Training Center (tuition-based, Minot): $1,2502 - Trinity Health (employer-sponsored): $03 Other community colleges, such as Dakota College at Bottineau, typically fall within the $500 to $1,000 range, though exact figures should be confirmed directly with the school.
Tuition is not the only expense. Plan for these common add-ons: - Textbooks and supplies: $100, $200 - State competency exam fee: $100, $150 - Background check and fingerprinting: $50, $100 - Scrubs and medical equipment: $50, $100 Some programs include books or exam vouchers in their published price, while others charge separately. Bismarck State College, for example, requires a TB test and background check; its for-credit track also carries a $35 application fee (non-credit students may not pay this).1 Always request a line-item cost breakdown before committing.
Many healthcare employers in North Dakota cover the full cost of CNA training for new hires. Trinity Health runs a no-cost, employer-sponsored program that lasts about one month; participants train on-site and then begin paid employment3, a key step toward landing your first CNA job. Other major systems such as Sanford Health and CHI St. Alexius frequently offer similar arrangements, especially in long-term care and hospital settings. The typical process: you apply for a CNA trainee position, complete the employer's in-house course, and sign a work commitment, often six months to a year. Leaving before that term ends may require repaying a portion of the training cost. Check hospital and nursing home career pages directly for current openings, as these programs can fill quickly.
If you don't qualify for employer sponsorship, public funding sources can bridge the gap. Contact Job Service North Dakota to ask about workforce development grants or scholarships for in-demand healthcare careers. Some local workforce boards have dedicated healthcare training funds, and many schools offer payment plans to spread out tuition. A brief call to a program advisor can uncover options you didn't know existed.
North Dakota’s healthcare employers are investing directly in CNA training pipelines, so class availability now hinges more on hospital systems than standalone schools.
Fargo offers the widest variety of CNA training programs in the state, ranging from free employer programs to private academies.
The capital region balances college-based training with free employer tracks.
Minot’s primary offering comes through a major health system, making it one of the most cost-effective routes in the region.
Williston State College serves the northwest corner with a fast-paced hybrid option.
Smaller communities often host CNA classes through local medical centers or community college outreach. Examples include:
If you live in Grand Forks, Dickinson, Jamestown, or other smaller towns, check with the community college nearest you, as many offer satellite CNA classes at regional sites. Schedules shift frequently, especially in less populated areas, so always confirm start dates, costs, and any evening or weekend options directly with the program. Planning a few months ahead is the best way to secure a seat in the city with a schedule that fits your life.
CNA jobs in North Dakota offer stable wages and a positive outlook. According to the Bureau of Labor Statistics, nursing assistants in the state earn a median annual wage of $44,190, with entry-level workers typically earning around $36,060 and experienced CNAs making up to $46,880. National projections indicate a 2% increase in nursing assistant positions from 2024 to 2034, but North Dakota's aging population and healthcare expansion are likely to fuel even stronger local demand. Fargo, with over 3,200 employed CNAs, is the state's largest metro employer, while Bismarck offers the highest average wages at $41,160 per year. Though many CNAs work in long-term care facilities, hospitals and home health agencies can provide more competitive pay and benefits.
| Metric | North Dakota |
|---|---|
| Median Annual Wage | $44,190 |
| Entry-Level Wage (25th Percentile) | $36,060 |
| Experienced Wage (75th Percentile) | $46,880 |
| Total Employment | 6,920 |
North Dakota employs 6,920 nursing assistants who earn a median wage of $44,190 per year, significantly higher than the national average. With healthcare employment expanding across the state's rural communities and urban centers, demand for CNAs continues to grow, making it one of the most stable entry-level healthcare careers available in North Dakota today.
We answer North Dakota's most common CNA training questions. While details vary by school, the North Dakota Board of Nursing (NDBN) is your official source for state requirements and approved programs. Always verify specifics with the NDBN or your chosen provider.
Start with the NDBN website (ndbon.org) for their list of approved providers. Cross-check program pass rates using the Board's annual performance reports. No single site has everything, so verify each school's status directly.
Complete a state-approved course and pass the competency exam. The NDBN sets prerequisites such as age and background checks. For current details, review ndbon.org or contact the Board.
Tuition varies by program type and location. Some employers sponsor training in exchange for a work commitment. Contact schools directly for pricing, financial aid, and any free or low-cost options.
Many healthcare facilities offer paid training to fill positions. Inquire with local nursing homes, hospitals, or workforce centers about eligibility and any service obligations.
Programs range from a few weeks full-time to several months part-time. Check with your chosen school for their specific schedule and clinical rotation availability.
Yes, North Dakota has reciprocity. You will typically need to submit your out-of-state certification and a background check. Visit ndbon.org for the latest reciprocity application forms.
The BLS (bls.gov) reports median wages and growth projections for certified nursing assistants. For local hiring trends, check with employers or workforce centers in cities like Fargo, Bismarck, or Minot.
How do you get started as a CNA in North Dakota without overpaying or wasting time?
The answer is simpler than you might think. Training costs start under $700 at community colleges, employer-sponsored programs can bring that cost to zero, and the certification process follows a clear, manageable path. Once certified, you'll enter a field where North Dakota's median wage for nursing assistants sits at $44,190, backed by growing demand in both urban centers and rural communities.
Your next step: contact two or three programs from the rankings or city listings, compare total costs, and ask directly about financial aid or employer partnerships. A CNA credential is one of the fastest routes into healthcare, and from there, the door to advancement stays open.