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2020 Nurse Aide Training Program Annual Report, F-62593

In accordance with state and federal requirements, all approved nurse aide training programs must submit an annual report to the Division of Quality Assurance. All nurse aide training programs approved to operate for the period of January 1 through December 31, 2019, are required to provide DQA with training and testing statistics and information, even if class was not conducted.
This question requires a valid email address.
13. Provide the name(s) of any current, approved primary instructor(s) and the date of their most recent caregiver background check (CBC). *This question is required.
This question requires a valid date format of MM/DD/YYYY.
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14. Provide the name(s) of any current, approved program trainer(s) and the date of their most recent caregiver background check (CBC). Please enter "N/A" into "Name of program trainer" if this question does not apply to your training program.
This question requires a valid date format of MM/DD/YYYY.
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15. Provide name and address for all current, approved clinical sites: *This question is required.