Get State Of Maine Department Of Health And Human Services Division Of Licensing And Regulatory
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How to fill out the STATE OF MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF LICENSING AND REGULATORY online
Filling out the STATE OF MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF LICENSING AND REGULATORY form is an essential process for obtaining approval for a Certified Nursing Assistant training program. This guide will provide you with clear and straightforward instructions to complete the form accurately and efficiently.
Follow the steps to successfully complete your application.
- Use the ‘Get Form’ button to access the application document and open it in the appropriate editor.
- Begin with Section 1, indicating the type of application you are submitting by checking the relevant box. Options include Adult Education Program, Community College Program, and more.
- In Section 2, provide the name and contact details of the program administrator, including the educational entity's name, mailing address, and email address.
- If the requesting agency differs from the administrator, complete Section 3 with the agency's name and contact information.
- Proceed to Section 4 to furnish information about the clinical and classroom sites, including names, addresses, and contact details.
- In Section 5, list the proctor and instructional staff. Ensure to include their qualifications and contact information as well as RN License numbers where applicable.
- Complete Section 6 by estimating the number of students and providing projected program dates, along with the classroom and clinical schedule.
- In Section 7, attach all required documents specified in the form, such as credentials of staff and proof of liability coverage, to support your application.
- Conclude with Section 8 by certifying the information provided is accurate by signing and dating the declaration.
- Once all sections are completed, save your changes, download, print, or share the finalized application as required.
Submit your application online to move forward with your CNA training program approval.
To reach the Maine CNA registry, you can visit the website for contact details, including phone numbers and email addresses. The STATE OF MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF LICENSING AND REGULATORY oversees this registry. They are dedicated to maintaining communication with certified nursing assistants. Ensure you use the most current information to get in touch.
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