To become a CNA in NC, individuals does not have to graduate from a state approve course. If fact anyone can move to the state of NC and walk off the street and take the state exam and pass. Individuals doing so will have up to 3 tried to pass the written & skills exam before being required to take a college course, even so does that mean the person will pass? Certainly not, some individuals just doesn't have what it takes to enter into the medical field.