Get Nurse Aide Training Program Initial ... - State Of Michigan - Michigan

Filling out the Nurse Aide Training Program Initial application is vital for those looking to establish a qualified training program within the State of Michigan. This guide provides a step-by-step approach to ensure you successfully complete the application process online, tailored to your specific needs.

Follow the steps to complete your application accurately and efficiently.

1. Click the ‘Get Form’ button to access the application, allowing you to open and fill it out online.
2. Begin with Section I by entering the applicant information, which includes the facility name, contact person's name, program or facility administrator/director, address, and phone number.
3. Proceed to Section II to provide details about the program coordinator. This includes their full name, Train-the-Trainer certification number, Michigan RN license number, and contact details.
4. In Section III, input information about the primary instructor, similar to what was provided for the program coordinator. Ensure to include their certification and license details.
5. Section IV requires you to fill out the alternate primary instructor's information, maintaining similar details for consistency and compliance.
6. For Section V, enter the information of the delegated instructors, verifying their licensing status.
7. In Section VI, if applicable, provide details for any guest instructors or speakers, including their credentials and contact information.
8. Section VII must outline the facilities where the training will take place, including classroom, laboratory, and clinical practice site details.
9. Describe the formal collaborative relationship in Section VIII, attaching necessary contracts or agreements signed by both parties.
10. Complete Section IX by certifying the adequacy of space, equipment, and alignment with federal and state requirements.
11. Finally, review all entries for accuracy. Save changes to your application, download a copy for your records, and prepare to submit the application and all additional documents as required.

Ensure your Nurse Aide Training Program application is submitted accurately by completing your documents online today.