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Please click a link below for more information.
Nurse Assistant Competency Exam Application Submission
Formats:
| Document |
Screen
Format |
Print
Format 1 |
| Illinois Criminal Background Check Application Guidelines For
Illinois Nurse Aide/Home Health Aide Program Coordinators/Instructors
|
[HTML] |
[PDF] |
| Illinois Nurse Assistant/Home Health Aide Competency Exam
Application Guidelines For Illinois Nurse Assistant/Home Health Aide
Program Coordinators/Instructors |
[HTML] |
[PDF] |
| Sample Application Verification Letter For Background
Checks Initiated Through SIUC |
[HTML] |
[PDF] |
| Sample Application Verification Letter For Background
Checks Not Initiated Through SIUC |
[HTML] |
[PDF] |
| Application Materials Reorder Form |
[HTML] |
[PDF] |
| Examination Fee Schedule |
[HTML] |
[PDF] |
| Sample Letter for Requesting Special Needs Test |
[HTML] |
[PDF] |
| Test Site Names and Codes |
[HTML] |
[PDF] |
| IDPH Nurse Aide Training Program Curriculum / 2004 Illinois Nurse
Aide Task List Matrix |
|
[PDF] |
IDPH Training Program Documents:
| Document |
Word
Format 2 |
Print
Format 1 |
| Evaluator Submission Form Roster |
|
[PDF]
3 |
| Instructor Submission Form Roster |
|
[PDF]
3 |
| Official Class Roster |
[DOT] |
[PDF]
3 |
| Official Class Roster Guidelines |
[DOC] |
[PDF] |
| Master Schedule - Pg 1 |
[DOT] |
[PDF]
3 |
| Master Schedule - Pg 2 (Day by Day Schedule) |
[DOT] |
[PDF]
3 |
| Master Schedule Guidelines |
[DOC] |
[PDF] |
Note 1: Adobe Reader is required to view the printable forms.
Click the logo to the right to obtain a FREE copy of the Adobe Reader. |
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| Note 2: Microsoft Word is required to view, edit, save and print the
Word template (DOT) forms.
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| Note 3:
Copies of all PDF forms can be saved to your local hard drive. For
certain forms (marked with a
3),
form data may also be saved with the local copy. This may help those
who use these forms regularly, as the field data will be saved with
the form. To save a copy of the form with your data, click "Save a
Copy" in the upper left corner of the form window. Note that Adobe
Reader 7.0 or higher is required to save data with these forms. |
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