Get Notice Of Program Change Form.12.12.12 - Arizona State Board Of ...

Filling out the Notice Of Program Change Form is essential for nursing assistant training programs in Arizona to communicate changes effectively. This guide provides clear, step-by-step instructions to ensure users can complete the form accurately and efficiently.

Follow the steps to complete the Notice Of Program Change Form online.

1. Click ‘Get Form’ button to obtain the form and access it in the online editor.
2. Fill in the program information section. Provide the name of your nursing education or nursing assistant training program, program code, name of the coordinator, program telephone number, email address, program address, city, state, and zip code.
3. Indicate the specific program change by checking the appropriate box. You may be notifying about an addition of an instructor, a decrease in program hours, a change in classroom location, a change in clinical facility, or a change in the name or ownership of the facility.
4. For each change you are reporting, include supporting documentation. This may involve detailing the reason for changes in program hours, providing a revised curriculum outline and course schedule, or the name and address of any new classroom or clinical site.
5. Include a cover letter that details the program change and mentions any supporting documents attached to your submission.
6. Review all information for accuracy. Make sure that all required fields are complete, and documentation is included.
7. Once all fields are completed and reviewed, you can save changes, download your form, print it, or share it as necessary for submission.

Complete and submit your Notice Of Program Change Form online today to ensure compliance with Arizona State Board Of Nursing requirements.