Get Application For Registration As A Nursing Home Administrator-in-training

Completing the Application For Registration As A Nursing Home Administrator-in-training is a crucial step in your journey to becoming a licensed administrator. This guide will help you fill out the form accurately and efficiently, ensuring you meet all necessary requirements.

Follow the steps to successfully complete your application online.

1. Click ‘Get Form’ button to access the application. This will allow you to obtain the form in a digital format that you can fill out online.
2. Read all instructions completely before proceeding. Ensure you understand each section of the application to avoid errors.
3. Fill out Part I: Personal Data. This section requires your full name, social security number, date of birth, citizenship status, contact information, and other relevant details.
4. In Part II: Education & Work History, provide details about your educational background and work experience. Be thorough and include all relevant information.
5. Complete Part IV: Medical Certification. This section must be filled out by a physician who will assess your suitability for the training program.
6. Fill in the Employment Status Form. Indicate whether you will be employed during your internship and provide your schedule.
7. Obtain and sign the Nursing Home Administrator-In-Training Agreement with your preceptor. This confirms your acceptance into the training program.
8. Complete the Facility Questionnaire to provide information about the nursing home where you will be doing your internship.
9. Gather all required documents as a checklist, including medical certification, internship agreements, and other relevant forms.
10. Review your application for accuracy before submitting. Ensure everything is filled out correctly and all necessary documents are attached.
11. Return the completed application to the designated instructor at Kent State University by the specified deadline. Keep a copy for your records.

Complete your Application For Registration As A Nursing Home Administrator-in-training online today to take a significant step towards your career.