HI I'm sure it's because with an online course you don't get any clinicals. At least that would be my guess. Here in Fl. you could sit for the test but I don't think you would be able to do well on the clinical part. Call these people and ask them where you can go to training they will except Good Luck MaryProject Manager NA SectionDiv of LTC Sys Dev & QualPO Box 367Trenton, NJ 08625-0367(609) 633-9051(800) 274-8970 verification email[email protected]Web sitewww.state.nj.us/health/ltcTestinghttp://www.promissor.com/