Appendix K Requirements for Trainers of the Assisted Living Administrator Training Program Checklist~1.pdf

This is a Requirements for Trainers of the Assisted Living Training Program Checklist and Application Form from the New Jersey Department of Health. The document outlines the requirements for continuing education program approval, including a $50 application fee payable to the Treasurer State of NJ, course descriptions/outlines, resumes of training instructors, National Association for Long-Term Care Boards (NAB) program approval, CBI fingerprint clearances, and a list of training classes for the year.

The application form (NH-5) includes detailed sections for program information such as dates, locations, and types of programs (workshop, seminar, conference, home study), with fees of $25 for less than 3 hours or $50 for three hours or more. Programs must be submitted 60 days before start date and evaluations must be submitted within 30 days after completion. The form includes space for program objectives, content description, presentation methods, faculty information, and evaluation methods. Programs are approved for one year and can be modified using the continuation sheet for changes, additions, or deletions to approved programs.