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How to fill out the D and S Diversified online
This guide provides clear and detailed instructions for completing the D and S Diversified online form. It aims to help users navigate through each section, ensuring accurate and efficient submission.
Follow the steps to successfully complete the D and S Diversified form.
- Click ‘Get Form’ button to access the D and S Diversified form and open it in your preferred online editor.
- Begin filling out the Certificate of Verification of Nursing Student Training section. Enter the name of the individual, confirming their current enrollment in an approved pre-licensure nursing education program.
- Include the name of the School of Nursing, the school's address, and contact information such as phone and fax numbers.
- Ensure you fill in the date, and remember that the authorized signature must be from someone who has signed within the last 30 days. Provide their name and title, along with their contact extension.
- Attach a copy of the transcript as instructed, ensuring that it accompanies the completed form.
- Next, proceed to the Certificate of Verification of Hospital Nurse Aide / Orderly Employment section. Input the individual’s name and the details of their employment, including the hospital name, address, and contact number.
- Specify the dates of employment, ensuring that the person has had twelve months or more of full-time experience in the preceding five years.
- Obtain the verifier's signature and their printed name and title. Ensure that you also collect their fax number.
- Attach the required work verification letter from the employer, printed on the company's letterhead. This letter must outline the required work hours and include job descriptions.
- After thoroughly reviewing your completed form for accuracy, proceed to save your changes. You can then download, print, or share the finalized document as needed.
Complete your D and S Diversified form online today for a smooth submission process.
Applying for CNA reciprocity in Tennessee involves submitting an application to the state’s Board of Nursing. You will need to include your out-of-state certification details and other required documents. D And S Diversified offers resources and support to help streamline your application process. Staying organized will help you navigate each step efficiently.
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