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Get Ca 55m-10 2019-2026
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How to fill out the CA 55M-10 online
Completing the CA 55M-10 form online is a straightforward process designed to help users demonstrate compliance with California regulations regarding faculty qualifications in vocational nursing and psychiatric technician programs. This guide offers step-by-step instructions to ensure a smooth application process.
Follow the steps to effectively complete the CA 55M-10 form online:
- Press the ‘Get Form’ button to access the CA 55M-10 form and open it in your browser's editor.
- Fill in the school and campus name in the designated field. This identifies the institution related to the application.
- Select the type of program by checking either the VN Program or PT Program box, according to your application.
- Input the full name of the faculty applicant in the relevant section.
- Choose the employment status by ticking the appropriate box: Full-Time, Part-Time, or Substitute.
- Select the position title by checking only one box and providing additional information in the specified sections.
- In the teaching assignment section, choose the appropriate option that best describes the applicant’s teaching responsibilities.
- Complete the professional license information by providing any applicable license numbers and their expiration dates.
- Indicate faculty teaching qualifications by checking all relevant documents that you will submit to demonstrate compliance.
- For Director and Assistant Director applicants, ensure to attach documentation verifying completion of required courses.
- For additional faculty, check the curriculum courses that will be taught, providing details as necessary.
- If applicable, for Teacher Assistants only, document the proposed teaching responsibilities in the provided space.
- List professional experience as an RN or LVN over the last six years, filling out the employer, position, and duties sections.
- Document teaching experience in accredited programs over the last six years following the same format as in the previous step.
- Review the form thoroughly. Once all sections have been completed, you can save changes, download, print, or share the form as needed.
Begin filling out the CA 55M-10 form online now to ensure timely submission.
Related links form
Pursuant to California Board of Regulation section 2532(c), you are required to complete a minimum of 576 Theory hours which shall include a minimum of 54 hours in pharmacology and 954 Clinical hours to be eligible to take the Licensed Vocational Nursing Exam.
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