Get Faculty Data Form - West Virginia

The Faculty Data Form is an essential document for individuals applying for program approval or reporting personnel changes in West Virginia. This guide provides step-by-step instructions to help users fill out the form accurately and efficiently online.

Follow the steps to successfully complete the Faculty Data Form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the applicant in the designated field. Be sure to provide their full name for clarity.
3. Next, input the applicant’s daytime phone number. Use a valid phone number where the applicant can be reached easily.
4. Fill out the program provider's name and address. Ensure that the details match the official information for your program.
5. Provide any applicable fax number and email address for communication purposes.
6. Record the program number associated with the application to help identify the specific program.
7. In the application section, check all relevant boxes including Program Director, Program Coordinator, Program Instructor, or Clinical Instructor, as applicable.
8. Enter the RN license number along with its expiration date. This is a necessary field for nursing professionals.
9. Indicate whether there are any practice limitations imposed on the license by selecting Yes or No.
10. Answer whether the applicant has attended the Educate-the-Educator program and provide details, including place and date if applicable.
11. Indicate if the applicant is certified by the West Virginia Bureau of Vocational Education by marking Yes or No. Attach a copy of the certificate if applicable.
12. To complete the form for a faculty member's resignation or termination, include the termination date and any relevant comments.
13. Finally, ensure to keep a copy for school records and send the original form to the NATCEP office.
14. Once all fields are completed, save changes, download, print, or share the form as needed.

Complete your Faculty Data Form online today to ensure timely processing of your application.