Upon completion of the course, each NCTA student must complete an exam to demonstrate content competence and the knowledge necessary to earn their certificate of completion. The NCTA final exam is administered online through Class Marker and consists of 150 multiple choice, true/false, and fill-in-the-blank questions. Students have one year from their purchase to take the course and complete heir examination. Those who pass the exam will be awarded a certificate of completion. This certificate does not allow students to use initials behind their name, nor does it signify that they are “certified.”

Students can apply for certification through The Newborn Care Training Academy in partnership with the American Association of Drugless Practitioners (AADP). While certification is not mandatory, a certificate of completion is required to begin the certification process.

The Newborn Care Training Academy reserves the right to revoke certificates if a student misrepresents their certificate use or practices outside their scope of experience.

Students must have attained a minimum of a high school diploma and be proficient in reading and writing English. Testing accommodations can be made upon request for those whose native language is not English. However, all training materials are presented in English.