1 The way your foot is shaped puts too much pressure on your big toe joint. Because bunions can run in families, some experts believe that the inherited shape of the foot makes some people more likely to get them.  Your foot rolls inward too much when you walk. A moderate amount of inward roll, or pronation, is normal.
Step 3: Route 2: Earn a Certificate or Degree. Enroll in an HVAC certificate or associate's degree program at a community college, trade school or technical academy. The programs can take between six months and two years to complete.
Home health aides do not hold professional licensures, but many employers require their HHAs to be certified, either due to preference or due to state regulation requirements. To become certified, you must successfully complete the minimum state-required training hours, which varies greatly from state to state; in some states, that means 75 hours of training and hands-on skills.