GUILFORD COUNTY SCHOOLS RFP # 5190 Request For Proposal to provide Nursing Services (RN, LPN)
|
|
|
- Joan Ferguson
- 10 years ago
- Views:
Transcription
1 GUILFORD COUNTY SCHOOLS RFP # 5190 Request For Proposal to provide Nursing Services (RN, LPN) School Year Proposals are being solicited for Nursing Services (RN, LPN) for students in the Guilford County Schools. The Guilford County Schools (GCS) provides an appropriate education for all students identified as having special needs pursuant to the Individuals with Disabilities Education Act (IDEA). Some handicapped students need Nursing services as part of their individual education program (IEP) as well as some students covered under Section 504. Proposal Proposals shall include, but are not limited to, all performance requirements/specifications listed below. Any proposed services which are over and above standards for professional practice and/or the requirements/specifications listed below shall also be noted. All financial considerations shall be noted, as well as a listing of recent similar work in school districts, including the Guilford County Schools. Performance Requirements/Specifications 1. Agencies that provide the services of a Licensed Practical Nurse will provide appropriate supervision by a Registered Nurse. Agencies will provide nurses who are licensed for the specific duties assigned. 2. Providing direct nursing services to assigned students, based on the individual student s educational need, health care plan and physician s orders. 3. Providing medical treatments to assigned student(s), based on the individual student educational need, healthcare plan and physician s orders. 4. Attending parent conferences and or individual education plan meetings, if invited, to contribute to the educational program of the assigned students. 5. Complete required documentation including Medicaid billing forms as required by Guilford County Schools 6. Be available to accompany student on the school bus when student needs warrant it. Following is a link to the NC Board of Nursing website: RFP-Nursing (RN,LPN) - Page 1 of 5
2 General Requirements 1. Proposals must address all aspects of the above stated performance requirements. 2. Proposals must include the maximum number of hours of nursing services that could be provided per week. 3. Proposals must include at least two references of persons familiar with similar work done by this service provider. 4. Proposals must clearly state the cost per hour of services delivered. Guilford County Schools does NOT reimburse for mileage in addition to cost/hour rate. Proposals must clearly state other financial considerations that may be incurred in addition to the hourly rate. 5. Proposals must include R.N. or L.P.N. licensure status, and the agency s Federal ID Number, where applicable. 6. Proposal must include a copy of the current Professional Liability insurance certificate, with Guilford County Schools listed as an Additional Insured. 7. Proposals must specify any services or supplies to be provided by GCS (eg: training, testing, materials, equipment). General Conditions. 1. All applicable sections of the Guilford County Board of Education Policies and the General Statutes of North Carolina, as amended, are made part of this contract by this reference. This includes, but is not limited to, purchasing and payment procedures. Copies of the above are available for inspection and review at 712 North Eugene Street, Greensboro, NC, Any exceptions to the performance requirements/specifications and/or conditions shall be noted and explained in a clearly identified section of the proposal. 3. Contract may be renewed for an additional two (2) years if mutually agreeable between both parties Evaluation of Proposal Evaluation shall be based on an assessment of submitted proposals and shall include consideration of the performance requirements/specifications, financial considerations, qualifications, and prior experiences. Follow-up discussion with the offerers best suited to complete the work may be requested. RFP-Nursing (RN,LPN) - Page 2 of 5
3 Questions Questions regarding the provision of services to GCS or the proposal and evaluation process should be directed to Fonda Curtis, Coordinator, Exceptional Children Services, Questions are due via , NO later than Wed, Apr. 20, 2011, at 5:00pm. Proposal Due Date Three (3) signed, sealed ORIGINAL copies of the proposal shall be sent to John Mann, Purchasing Officer, Guilford County Schools, 501 West Washington Street, Greensboro, North Carolina 27401, beginning on Friday, May 20, Due to our ongoing need for providers, there will NOT be a closing date for proposals. However, we would like to receive proposals as soon as possible, in order to begin the review process and award contracts well in advance of the start of the school year, which, for students, is August 25, Proposal Format The proposal may be in any format desired by the offerer. A sample is included on a following page. Please also include the following statement: In addition to the proposal as presented and any exceptions clearly noted, I understand that all requirements, specifications and conditions of the Request for Proposal are made part of any subsequent contract. Billing Requirements Please refer to the separate GCS Billing instructions for details on how to submit invoices for payment for services rendered. Termination of Contract Contracts may be terminated by either party upon 30 days written notice. Drug and Alcohol Free Workplace Please refer to Guilford County Schools Board of Education Policies and Procedures, under the Board of Education link on the GCS website. Under Section G, Personnel, carefully review GA and GA-P, regarding GCS commitment to a Drug and Alcohol Free Workplace. RFP-Nursing (RN,LPN) - Page 3 of 5
4 Special Requirements Regarding Criminal Background Criminal Background Investigations of individuals working on school property A. At a minimum, a vendor shall obtain a complete North Carolina statewide criminal background investigation for all employees who will work on a site, covering a period for the last seven (7) years. In the event that the vendor is from out of state, the criminal background investigation shall be broadened to include their home state, as well as the state of North Carolina as outlined above. The company providing such information must be recognized by local law enforcement agency as qualified to do so. All costs associated with these criminal background checks is the responsibility of the vendor. B. Any individual with the following criminal convictions or pending charges will NOT be permitted on any school property. 1. Child Molestation or Abuse or indecent liberties with a child; 2. Rape; 3. Any Sexually Oriented Crime; 4. Drugs: Felony use, possession or distribution;. 5. Murder, manslaughter or other death related charge; or 6. Assault with a deadly weapon or assault with intent to kill. C. Any individual with a prior conviction or pending charges contained in the aforementioned list, shall be banned (not allowed) from any school property. D. Each person on site must wear a plastic laminated identification badge or item of clothing that identifies the name of the company and the person s name. These badges are to be computer produced at a font large enough to be clearly visible. Guilford County Schools, may, at any time, request verification of criminal background investigation for any employee on school property. RFP-Nursing (RN,LPN) - Page 4 of 5
5 (Sample) School Year Proposal to Offer Nursing (RN, LPN) Services In response to the current Request for Proposal for Nursing (RN, LPN) services, I am proposing the following: 1. I agree to meet all the Performance Requirements/Specifications described in the Request for Proposal. 2. I have the following specialized skills:. 3. I can provide a maximum of hours of services per week. 4. a. b. (Provide names, addresses and phone numbers) are familiar with my professional work and may be contacted for references. 5. My fee will be $ per hour of service delivered. 6. My Licensure status in North Carolina is. 7. I would expect the Guilford County Schools to provide the following equipment and services: In addition to the proposal as presented and any exceptions clearly noted, I understand that all requirements, specifications and conditions of the Request for Proposal are made part of any subsequent contract. Signature of Provider Are you a Minority or Woman Business Enterprise? yes no Signature Federal ID or SS Number Date RFP-Nursing (RN,LPN) - Page 5 of 5
HAMILTON COUNTY SCHOOL DISTRICT
HAMILTON COUNTY SCHOOL DISTRICT REQUEST FOR PROPOSALS FOR SPEECH/LANGUAGE THERAPY SERVICES PROPOSAL RETURN DATE May 25, 2016 AT 3:00 P.M. INVITATION TO BID Hamilton County School Board Betty Linton, Coordinator
Name: Last First Middle. Mailing Address: Street City/State Zip Street Address: Street City/State Zip Telephone: ( ) Social Security Number:
School Nurse Application for Employment TANQUE VERDE UNIFIED SCHOOL DISTRICT, NO. 13 11150 E. Tanque Verde Road Tucson, AZ 85749 520-749-5751 / fax 520-749-5400 All positions require an Arizona Registered
HESI Exam. Name: (last) (first) (middle) (maiden) Address: (street/route) (city) (county) (state) (zip)
For Office Use EMT-P LPN Eligible to apply Yes No ASSOCIATE DEGREE NURSING PROGRAM Davis Hall, 815 North Walnut Hutchinson, KS 67501 620.665.4930 800.289.3501 Associate Degree Nursing Program Online Bridge
National Recreation and Park Association Recommended Guidelines for Credentialing Volunteers
National Recreation and Park Association Recommended Guidelines for Credentialing Volunteers Background Screening Practices The National Recreation and Park Association has reviewed the resources of the
(http://www.michigan.gov/documents/mde/facts_about_teacher_certification_in_michigan_230612_7.pdf)
(http://www.michigan.gov/documents/mde/facts_about_teacher_certification_in_michigan_230612_7.pdf) School Psychologist Certificate (Advanced license; valid for up to five years) A person who is employed
CRIMINAL RECORD AND ABUSE HISTORY VERIFICATION
WHEN AND HOW TO FILE CRIMINAL RECORD AND ABUSE HISTORY VERIFICATION When did this form go into effect? September 2013 Who must file this form? Anyone who files a "Complaint for Custody" or a "Petition
List of questions for RFP-Supplemental Nursing Services-LPN and RN 2014
List of questions for RFP-Supplemental Nursing Services-LPN and RN 2014 1. How many contracted hours of Supplemental Nursing Services were utilized last contract/school year? This is a variable number
Pearl River Community College Nursing Assistant Program 5448 U.S. Hwy 49 South Hattiesburg, MS 39401
Pearl River Community College Nursing Assistant Program 5448 U.S. Hwy 49 South Hattiesburg, MS 39401 Instructor: Mrs. T. Camille Killough, RN, BSN Phone: 601-554-5537 Thank you for your interest in the
OKLAHOMA. 21 Okl. St. 142.20. Sexual Assault Examination Fund--Establishment
OKLAHOMA Specific requirement to report sexual assault? No but a statute was recently passed stating that it is an option to report if the victim requests it. Requirement to report non-accidental or intentional
SEALING OF RECORDS. Conviction / Acquittal / Dismissal CLARK COUNTY DISTRICT ATTORNEY S OFFICE. DAVID ROGER District Attorney
SEALING OF RECORDS Conviction / Acquittal / Dismissal CLARK COUNTY DISTRICT ATTORNEY S OFFICE DAVID ROGER District Attorney NOTICE: This Website contains instructions for using the Clark County District
EMPLOYMENT/CREDENTIALING APPLICATION
Beacon Specialized Living Services, Inc. EMPLOYMENT/CREDENTIALING APPLICATION We do not discriminate on the basis of race, color, religion, national origin, sex, age or disability. It is our intention
APPLICATION FOR ADMISSION BACCALAUREATE PROGRAM IN NURSING Generic and RN-to-BSN Completion Programs PRINT CLEARLY
Please indicate the program for which you are applying Generic RN-to-BSN UNIVERSITY OF ARKANSAS AT PINE BLUFF DEPARTMENT OF NURSING APPLICATION FOR ADMISSION BACCALAUREATE PROGRAM IN NURSING Generic and
Keweenaw Holistic Family Medicine Patient Registration Form
Keweenaw Holistic Family Medicine Patient Registration Form How did you first learn of our Clinic? Circle one: Attended Lecture Internet KHFM website Newspaper Sign in window Yellow Pages Physician Friend
OREGON INSTITUTE OF TECHNOLOGY Medical Imaging Technology Program (MIT) STATEMENT OF COMPREHENSION FOR THE MIT PROGRAMS SELECTION PROCESS
OREGON INSTITUTE OF TECHNOLOGY Medical Imaging Technology Program (MIT) STATEMENT OF COMPREHENSION FOR THE MIT PROGRAMS SELECTION PROCESS Student Name (printed): My signature below signifies that I have
APPLICATION FOR ALLIED PROFESSIONAL STAFF
Office of Medical Affairs 736 Irving Ave Syracuse NY 13210 Phone: 315-470-7646 APPLICATION FOR ALLIED PROFESSIONAL STAFF Circle appropriate category CRNA Medical Physicist Research Assistant CST/Dntal
1. VERIFICATION OF LICENSURE- Choose one of the following options.
GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS ----- ----- DEPARTMENT OF HEALTH Virgin Islands Board of Nurse Licensure P.O. Box 304247 Tel: (340) 776-7397 St. Thomas, Virgin Islands 00803 Fax: (340) 777-4003
INSTRUCTIONS FOR COMPLETING THE U VISA CERTIFICATION FORM
INSTRUCTIONS FOR COMPLETING THE U VISA CERTIFICATION FORM Overview of the U Visa In October 2000, Congress passed the Victims of Trafficking and Violence Protection Act (the Act). As part of this Act,
REV. JULY 23, 2014 NEBRASKA DEPARTMENT OF MEDICAID SERVICES MANUAL LETTER #64-2014 HEALTH AND HUMAN SERVICES 471 NAC 27-000
MANUAL LETTER #64-2014 HEALTH AND HUMAN SERVICES 471 NAC 27-000 27-000 NON-EMERGENCY TRANSPORTATION (NET) SERVICES 27-001 Service Definitions: the following words, terms and phrases when used in this section
Criminal Background Clearance Policy page 1 of 9
West Chester University Professional Education Unit Criminal Background Check Policy Pertaining to Continuation in Teacher Education Approved by CPE on 25 January 2008 Amended to address Act 24 of 2011
DEPARTMENT OF HEALTH NURSING CARE QUALITY ASSURANCE COMMISSION PROCEDURE
DEPARTMENT OF HEALTH NURSING CARE QUALITY ASSURANCE COMMISSION PROCEDURE Title: Decision Making Criteria for License Applications Number: A21.05 Reference: RCW 18.130.050 (13) Contact: Mary Dale, Discipline
Educator Professional Conduct FAQs
Back to full version Educator Professional Conduct FAQs Listed below are Frequently Asked Questions related to Educator Professional Conduct in Ohio, beginning with a list of the questions that will be
District School Board of Collier County. Criminal Background Screening, Guidelines & Procedures
District School Board of Collier County Criminal Background Screening, Guidelines & Procedures I. INTRODUCTION The purpose of this document is to provide appropriate guidelines and procedures for determining
Application Packet. Hopewell Page 1
Application Packet Caregivers who are interested must fill out an application and return it with all necessary documents to our office. Completed applications can be faxed to 850-386-5505 (Tallahassee)
REQUEST FOR PROPOSALS Occupational Therapy Services 2014-2015 July 29, 2014
REQUEST FOR PROPOSALS Occupational Therapy Services 2014-2015 July 29, 2014 RFP 140702 The Delaware City School District is seeking a vendor to provide occupational therapy to students with IEP s for the
10 Victims and the law 57
10 Victims and the law 57 10: Victims and the law This section gives a summary of the law in relation to victims of crime. Introduction The court may call a victim as a witness in a criminal case. However,
I. SCOPE AND PURPOSE II. DEFINITIONS
Revision Date: First version Page: 1 of 9 I. SCOPE AND PURPOSE This procedure is designed to implement the Employee Background Checks Policy, by providing details relating to the timing and manner of conducting
MIDWIFERY JOINT COMMITTEE STATE OF NORTH CAROLINA
MIDWIFERY JOINT COMMITTEE STATE OF NORTH CAROLINA APPLICATION FOR APPROVAL AS A CERTIFIED NURSE-MIDWIFE GENERAL INFORMATION 1. BEFORE COMPLETING APPLICATION, photocopy blank forms for future use. 2. Initial
Criminal Record/Abuse History Verification. Form 3
Criminal Record/Abuse History Verification Form 3 CRIMINAL RECORD/ABUSE HISTORY VERIFICATION The following numbers on these instructions correspond with the numbers in the boxes on the Criminal Record/Abuse
ADMISSION WITH ADVANCED STANDING PROCEDURE ASSOCIATE DEGREE NURSING/REGISTERED NURSING 2015-2016 Academic Year
ADMISSION WITH ADVANCED STANDING PROCEDURE ASSOCIATE DEGREE NURSING/REGISTERED NURSING 2015-2016 Academic Year Revised: April 2015 How do I apply with Advanced Standing to the Associate Degree Nursing
California Victim Compensation Program. Information for First-Responders
California Victim Compensation Program Information for First-Responders 2009 California Victim Compensation Program (VCP) Created in 1965 to lessen the financial impact of crime on qualifying victims Paid
PROBATION PEACE OFFICERS & OFF-DUTY WEAPONS
PROBATION PEACE OFFICERS & OFF-DUTY WEAPONS By Christopher W. Miller, General Counsel State Coalition of Probation Organizations This article provides an overview of current legal authority governing the
EASTER SEALS REHABILITATION CENTER SERVICES
EASTER SEALS REHABILITATION CENTER SERVICES The Easter Seals Rehabilitation Center provides a wide range of services to enhance the independence of children and adults with disabilities and special needs
DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF AUDIT SERVICES 233 NORTH MICHIGAN AVENUE CHICAGO, ILLINOIS 60601. April 23,2002
DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF AUDIT SERVICES 233 NORTH MICHIGAN AVENUE CHICAGO, ILLINOIS 60601 REGION V OFFICE OF INSPECTOR GENERAL UN: A-05-0 l-00044 April 23,2002 Mr. Michael O Keefe
DELAWARE COUNTY TREATMENT COURT APPLICATION
DELAWARE COUNTY TREATMENT COURT APPLICATION Please read each question carefully before answering. Failure to complete this form accurately will delay the processing of your application. False or misleading
Nurse Practitioner Application for Professional Liability Insurance Additional Insured Basis*
Nurse Practitioner Application for Professional Liability Insurance Additional Insured Basis* IMPORTANT INSTRUCTIONS PLEASE READ CAREFULLY *Coverage on an Additional Insured Basis provides coverage only
ATTACHMENT B FEDERAL CERTIFICATIONS FOOD SERVICE MANAGEMENT COMPANIES AND PUBLIC SCHOOLS
The undersigned states that: ATTACHMENT B FEDERAL CERTIFICATIONS FOOD SERVICE MANAGEMENT COMPANIES AND PUBLIC SCHOOLS 1. He or she is the duly authorized representative of the Vendor named below; 2. He
State of Utah Department of Commerce Division of Occupational and Professional Licensing
State of Utah Department of Commerce Official Use Only Number: Date Approved/Denied: Approved/Denied By: Certified Nurse Midwife APPLICANT INFORMATION Full Legal Name: First Middle Last All Previous Legal
NURSE AIDE TRAINING PROGRAM APPLICATION
Get Where You Want To Go NURSE AIDE TRAINING PROGRAM APPLICATION Lancaster County Career & Technology Center 1730 Hans Herr Drive P.O. Box 527 Willow Street, PA 17584 Revised June 13, 2014 Get Where You
NOTE: All mailings will be sent to the address you indicate below; if you change your address, you must advise this office.
ATTACHMENT G 7/2013 STATE OF NEBRASKA Department of Health and Human Services Division of Public Health - Licensure Unit P.O. Box 94986 - Lincoln, Nebraska 68509-4986 Telephone #: 402-471-4918 [email protected]
Surgical Center of Greensboro/Orthopaedic Surgical Center Div of Surgical Care Affiliates
Allied Health Staff Application Instructions We are pleased to provide you with our Allied Health Staff application packet. Please do not write see attached or see resume or CV on the application. All
EFFECTIVE DATE: 10/04. SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31
SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31 EFFECTIVE DATE: 10/04 Applies to all products administered by the plan except when changed by contract Policy Statement:
VICTIM COMPENSATION APPLICATION
OFFICE OF THE ATTORNEY GENERAL Crime Prevention & Victim Services Crime Victim Compensation Division Post Office Box 220 Jackson, Mississippi 39205-0220 1-800-829-6766 or 601-359-6766 601-576-4445 (FAX)
Instructions for Lottery Application
Instructions for Lottery Application Spring 2015 APPLICATION DATES: 8:00AM JANUARY 12, 2015 4:00PM JANUARY 16, 2015 (for hand delivery, or postmarked by January 16, 2015 for mail delivery) Dear Applicant:
Department of Purchasing 100 N. Main Street, 2 nd Floor Suffolk, VA 23434 (757) 925 6762 Fax (757) 925 6763
Department of Purchasing 100 N. Main Street, 2 nd Floor Suffolk, VA 23434 (757) 925 6762 Fax (757) 925 6763 To Interested Parties: Re: Informal Request for Proposals, IRFP # 1347 I Braille Transcription
CHAPTER 9: NURSING HOME RESPONSIBILITIES REGARDING COMPLAINTS OF ABUSE, NEGLECT, MISTREATMENT AND MISAPPROPRIATION
CHAPTER 9: NURSING HOME RESPONSIBILITIES REGARDING COMPLAINTS OF ABUSE, NEGLECT, MISTREATMENT AND MISAPPROPRIATION 9.1. PURPOSE Effective protection of residents in long term care facilities from abuse,
Claim Form. Before you fill out this application, please read the information below. Before you complete this application:
Claim Form Before you fill out this application, please read the information below. You may qualify to receive payment if: Before you complete this application: The victim suffered physical injury or was
Health Sciences Application
Health Sciences Application This application is for Dental Assisting, Dental Hygiene, Nuclear Medicine, Radiation Therapy, Radiography, Respiratory Care and Sonography. If you are applying for the Nursing
APPLICATION FOR APPROVAL/RE-APPROVAL OF EDUCATION PROGRAM(s) FOR REGISTERED NURSES PROVIDING EXAMINATIONS TO VICTIMS OF SEXUAL OFFENSES
Please select one: Initial approval Re-approval APPLICATION FOR APPROVAL/RE-APPROVAL Agency offering the Program Name of Agency Program Coordinator Address City, State, Zip Contact Number Email Address
How To Get A Teaching Certificate In Michigan
School Safety & Professional Practices School Safety Legislation (MCL 380.1230a) Certificate Suspension and Revocation (MCL 380.1535a) Stephanie Whiteside School District Consultant Objective Gain understanding
Licensure Code of Professional Conduct for Ohio Educators
Licensure Code of Professional Conduct for Ohio Educators Department of Education education.ohio.gov Adopted March 11, 2008, State Board of Education Educators are entrusted by the public with the responsibility
Request for Proposals RFP No. 14-12
Request for Proposals RFP No. 14-12 The Gadsden County Board of County Commissioners is seeking sealed proposals from vendors who desire to lease dental equipment owned by the County. Proposals will be
COLLINGSWOOD BOARD OF EDUCATION 200 LEES AVENUE COLLINGSWOOD, NJ 08108 REQUEST FOR PROPOSAL
COLLINGSWOOD BOARD OF EDUCATION 200 LEES AVENUE COLLINGSWOOD, NJ 08108 REQUEST FOR PROPOSAL A. PURPOSE: The Collingswood Board of Education is seeking proposals from qualified respondents as follows: Board
REQUEST FOR PROPOSALS/QUALIFICATIONS FOR. EMERGENCY HOME REPAIR PROGRAM ADMINISTRATOR Community Development Block Grant CITY OF DUNKIRK
REQUEST FOR PROPOSALS/QUALIFICATIONS FOR EMERGENCY HOME REPAIR PROGRAM ADMINISTRATOR Community Development Block Grant CITY OF DUNKIRK CITY OF DUNKIRK 342 CENTRAL AVENUE DUNKIRK, NEW YORK 14048 ATTN: OFFICE
In-Home Services License Application Packet
In-Home Services License Application Packet Contents: 1. 505-052...Contents List / Mailing Information...1 Page 2. 505-053...Application Instructions Checklist... 3 Pages 3. 505-109...License Requirements...1
PROHIBITIVE OFFENSE PROCEDURE FOR SCHOOL OF HEALTHCARE SCIENCE PROGRAMS AT LEHIGH CARBON COMMUNITY COLLEGE
PROHIBITIVE OFFENSE PROCEDURE FOR SCHOOL OF HEALTHCARE SCIENCE PROGRAMS AT LEHIGH CARBON COMMUNITY COLLEGE I. Purpose Outline the steps to be taken in all cases of criminal findings. It is LCCC s position,
ASSOCIATE DEGREE REGISTERED NURSING PROGRAM
ASSOCIATE DEGREE REGISTERED NURSING PROGRAM Online LPN/Paramedic to RN Option LPN/Paramedic to RN Option Generic Option The program is designed to prepare graduates with the knowledge and skills required
Prohibitive Offense Procedure for Health Career Programs
Prohibitive Offense Procedure for Health Career Programs I. Purpose Outline the steps to be taken in all cases of criminal findings. It is HACC s position, in order to protect the safety of the client
Perry Housing Partnership Transitional Housing Program APPLICATION FOR ADMISSION
Perry Housing Partnership Transitional Housing Program APPLICATION FOR ADMISSION DATE OF APPLICATION DATE OF INTERVIEW NAME DATE OF BIRTH SS# SPOUSE NAME DATE OF BIRTH SS# CHILDREN: NAME DATE OF BIRTH
LPN to RN ADMISSION REQUIREMENTS
LPN to RN ADMISSION REQUIREMENTS Students must turn in a complete application packet in a plain manila envelope to a Nursing Program Advisor, Room 191-D, prior to the listed application deadlines. Incomplete
PROHIBITIVE OFFENSE PROCEDURE FOR ADN AND PN NURSING PROGRAMS AT LEHIGH CARBON COMMUNITY COLLEGE
PROHIBITIVE OFFENSE PROCEDURE FOR ADN AND PN NURSING PROGRAMS AT LEHIGH CARBON COMMUNITY COLLEGE I. Purpose Outline the steps to be taken in all cases of criminal findings. In order to protect the safety
9 TH Judicial District CRIME VICTIM COMPENSATION FUND 109 Eighth Street, Suite 308 Glenwood Springs, Colorado 81601 (970) 945-8635
9 TH Judicial District CRIME VICTIM COMPENSATION FUND 109 Eighth Street, Suite 308 Glenwood Springs, Colorado 81601 (970) 945-8635 The 9 th Judicial District Crime Victim Compensation Board can provide
Application & Information Packet. Bachelor of Science in Nursing Degree BSN PROGRAM
Application & Information Packet Bachelor of Science in Nursing Degree BSN PROGRAM Application for Admission Bachelor of Science in Nursing (BSN) 1. Complete this application. (Type or print legibly) 2.
LEASE APPLICATION RESIDENCY INFORMATION
Full Name LEASE APPLICATION Date Apt. # Source Amount $ Move In Lease Term Social Security Number RESIDENCY INFORMATION Present Address Phone Length of Residency Own Rent Monthly Payment Landlord s Name
Thank you for your interest in doing business with Greystar!
Thank you for your interest in doing business with Greystar! As a National Company, Greystar requires that all of our vendors enroll with Compliance Depot prior to doing business with our communities.
Domestic Violence Resource Guide for Mecklenburg County Including Information about Domestic Violence Protective Orders
Domestic Violence Resource Guide for Mecklenburg County Including Information about Domestic Violence Protective Orders Qualifications for a DV Protective Order (50B) 1. Must be a resident of Mecklenburg
Campus security Report
Campus security Report Updated as of January 2014 The school s campus security report; CRIME STATISTICS In accordance with the Jeanne Cleary Disclosure of Campus Security Policy and Campus Crime Statistics
State of Utah Department of Commerce Division of Occupational and Professional Licensing
State of Utah Department of Commerce Division of Occupational and Professional Licensing Official Use Only Number: Date Approved/Denied: Approved/Denied By: Retired Volunteer Health Care Practitioner APPLICANT
Criminal History and Effect on Nursing Education Program Enrollment, License Eligibility and Employment
May 2012 Criminal History and Effect on Nursing Education Program Enrollment, License Eligibility and Employment Can I go to nursing school if I have a Domestic Violence conviction? Am I able to get a
2010 CRIMINAL CODE SENTENCING PROVISIONS. Effective July 29, 2010
010 CRIMINAL CODE SENTENCING PROVISIONS Effective July 9, 010-0- GENERAL CRIMES SENTENCING RANGES Class NON-DANGEROUS OFFENSES ( 13-70) First Offense ( 13-70(D)) MIT* MIN P MAX AGG* 3 4 5 10 1.5 3.5 3.5
DEPARTMENT OF HUMAN SERVICES Med-QUEST Division CRIMINAL HISTORY RECORD AND BACKGROUND CHECK STANDARDS
DEPARTMENT OF HUMAN SERVICES Med-QUEST Division CRIMINAL HISTORY RECORD AND BACKGROUND CHECK STANDARDS I. PURPOSE The Med-QUEST Division (MQD) of the Department of Human Services (DHS), develops these
MAGNOLIA BOARD OF EDUCATION 801 Preston Ave Suite D Somerdale, New Jersey 08083
MAGNOLIA BOARD OF EDUCATION 801 Preston Ave Suite D Somerdale, New Jersey 08083 REQUESTS FOR PROPOSALS SOLICITOR/AUDITOR/ARCHITECT/OCCUPATIONAL THERAPIST NOTICE OF SOLICITATION Notice is hereby given that
ARKANSAS BOARD OF PODIATRIC MEDICINE
ARKANSAS BOARD OF PODIATRIC MEDICINE APPLICATION FOR LICENSE TO PRACTICE PODIATRIC MEDICINE 1. Name: Social Security Number: (As to appear on License) 2. Address: 3. Address you wish License to be mailed:
NC General Statutes - Chapter 93B 1
Chapter 93B. Occupational Licensing Boards. 93B-1. Definitions. As used in this Chapter: "License" means any license (other than a privilege license), certificate, or other evidence of qualification which
January Admission 1st Friday in October
1 APPLICATION PROCEDURE AND DEADLINE: Classes are admitted in August and January. Class size is limited, and all applicants are not accepted for participation. All applicants will have an equal opportunity
Guilford County Schools Online Application Lyons, Leslie Date Started: 2/18/2015
Personal Data Name: Ms. Leslie T Lyons (Title) (First) (Middle Initial) (Last) Other name(s) under which transcripts, certificates, and former applications may be listed: Other: Mrs. Leslie L Brown (Title)
DRUG PREVENTION PROGRAM
DRUG PREVENTION PROGRAM This is to inform you of the requirements of the Drug-Free Schools and Communities Act Amendments of 1989 Public Law 101-226 and what our schools require of the Staff and the Students.
Computerized Clinical Placement System (C.C.P.S.)
Computerized Clinical Placement System (C.C.P.S.) Operating Manual Revised September, 2014 I. Program Description The computerized Clinical Placement System (CCPS) is an internet-based service accessible
COMMONWEALTH of VIRGINIA
COMMONWEALTH of VIRGINIA Department of Medical Assistance Services HCBCS - Consumer Directed Service Coordination VIRGINIA MEDICAID PROVIDER ENROLLMENT PACKAGE Thank you for your interest in becoming a
APPLICATION TO BEGIN A TRAINING PROGRAM NURSING HOME ADMINISTRATION
This form may be completed online, printed and mailed to the address listed below. 4/2014 DIVISION OF PUBLIC HEALTH - Licensure Unit P.O. Box 94986 - Lincoln, Nebraska 68509-4986 Telephone #: 402-471-4918
