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Nurse Aide -RN Instructor Application

Complete this form and submit it. Once approved, you will receive a login to Kentucky TMU.  The email address listed must be different than the email associated with a facility or observer account.
Address
RN License Information
Affidavit
I attest that by completing this application: 
  • I am an active RN and 
  • I have met the requirements of a Kentucky nurse aide instructor and can enter and certify completion of training of nurse aide candidates (as per federal guidelines ยง 483.152 requirements for approval of a nurse aide training and competency evaluation program).
By Submitting
I hereby verify that I understand and agree with the statements contained herein and the above information is true and correct.
1.877.528.2748