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

Filling out the Nurse Aide Training Program Initial Application is a critical step for eligible applicants who seek to provide nurse aide training. This guide will help you navigate the application process with clarity and confidence.

Follow the steps to complete your application effortlessly.

1. Press the ‘Get Form’ button to access the application form and open it in your preferred document editor.
2. Begin by entering your applicant information. Fill out the program or facility name, the contact person, program administrator's name, address details, and contact numbers.
3. Specify the type of facility by checking the appropriate box, such as Long Term Care Facility or Hospital LTCU.
4. Provide details about the Program Coordinator who must be Train-The-Trainer certified and hold a current Registered Nurse license. Include their certification number and Michigan RN license information.
5. Input the qualifications of the Primary Instructor in the dedicated section, ensuring to provide their Train-The-Trainer certification and RN license details.
6. If applicable, complete the same detailed information for the Alternate Primary Instructor and Delegated Instructor.
7. List the facilities where training will occur, including classroom, laboratory, and clinical practice sites. Provide the required ratios of students to instructors for each.
8. Enter the program schedule, outlining the total hours for lectures, labs, and clinicals, and include the anticipated start date.
9. Attach any required documents such as contracts, teaching methodologies, and curriculum materials outlined in the application instructions.
10. Conclude by reviewing all information for accuracy, signing the certification, and ensuring any necessary addendums or agreements are attached before submission.

Complete your Nurse Aide Training Program Initial Application online today to ensure a smooth review process.