Forms & Applications

For applications, click here (or scroll down)

Choose the form you want to access or download:

AIT Program Outline -- 200 hours
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AIT Program Outline -- 500 hours
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AIT Program Outline -- 1000 hours
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AIT Program Outline -- 2000 hours
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     Download form

Certification of Program Completion -- 200 hours
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Certification of Program Completion -- 500 hours
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     Download form

Certification of Program Completion -- 1000 hours
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     Download form

Certification of Program Completion -- 2000 hours
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     Download form

Request For Course Approval
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NHA Renewal Form
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Complaint Form
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AIT Quarterly Report Form
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Preceptor Application
    
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Preceptor Recertification Application
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     Download form

Reciprocity Questionnaire
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     Download questionnaire

Policy Regarding Long Distance Learning

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Choose the application you want to access or download:

flashred.gif (995 bytes) Application Letter
flashred.gif (995 bytes) Employment Verification Affidavit
flashred.gif (995 bytes) Application for Administrator-In- Training
flashred.gif (995 bytes) Application for Facility Training Site
flashred.gif (995 bytes) Application for Temporary Manager
flashred.gif (995 bytes) Preceptor Application
flashred.gif (995 bytes) Preceptor Recertification Application
flashred.gif (995 bytes) Application for License as a Nursing Home Administrator (download only)
flashred.gif (995 bytes) State Exam Materials