Please complete this form to apply for an Instructor login in Kentucky TMU

Do not use until your MOI application is submitted and approved

The request to challenge the SRNA examination, your request must be approved, and exam taken within one year of completing the required nursing courses.

To be completed by Medication Aide Instructors requesting access to the KCTCS testing site to registrar students for the CMA I or CMA II Exams located at a KCTCS test site. (Not required for KCTCS Instructors)

This form is used by facilities requesting facility role access to the TMU testing platform, It may also be used if there is a change in the person responsible for this role. (payments/reports) This is not the same as a MAP 414 change. This is only system access approval.

For Skill Observers to gain log in access to TMU for testing.

A formal process has been established for test takers to appeal their grades on the competency evaluation. When an appeal is filed one of two actions must be proven for the grade to be changed. You must prove one of the following: • Inadequate Consideration – this means there was a proven problem with the evaluation. or • Breech of Procedure – this means the test center did not follow protocol. When filing an appeal, please explain in detail why you are contesting your grade.