Homepage Blank South Carolina Nurse Aide Template

Dos and Don'ts

When filling out the South Carolina Nurse Aide form, it is essential to adhere to specific guidelines to ensure your application is processed efficiently. Below is a list of things you should and shouldn't do.

  • Do review the eligibility requirements carefully before completing the application.
  • Do use black or blue ink only to fill out the form.
  • Do ensure all names match across your documents and the application.
  • Do submit all pages of the application along with any required documentation.
  • Do provide accurate contact information, including your social security number.
  • Don't submit more than one application unless instructed by DHSR.
  • Don't leave any sections of the application blank; answer all questions fully.

Following these guidelines will help streamline the application process and reduce the likelihood of delays.

File Attributes

Fact Name Details
Governing Law Rule 10A NCAC 13O .0301 governs the Nurse Aide I Registry in North Carolina.
Application Review Period The Department of Health Service Regulation (DHSR) has 10 business days from the date of receipt to review the application.
Eligibility Criteria Applicants must meet five specific criteria to be eligible for the Nurse Aide I Registry.
Employment Requirement Applicants must have worked at least 8 hours performing nursing-related tasks supervised by a Registered Nurse within the last two years.
Identification Requirements Applicants must provide a social security card and a valid government-issued ID with a matching name.
Training Program Completion of a state-approved nurse aide training program of at least 75 hours is required.
Application Submission Applications must be completed in black or blue ink and can be submitted via mail or fax.
Multiple Applications Submitting more than one application is not allowed unless instructed by DHSR.

Documents used along the form

The South Carolina Nurse Aide form is a crucial document for individuals seeking to be listed on the Nurse Aide I Registry. Along with this form, several other documents may be required to ensure a smooth application process. Below is a list of these forms and documents, each serving a specific purpose in the registration and reciprocity process.

  • Background Check Authorization Form: This document allows the relevant authorities to conduct a background check on the applicant, ensuring that there are no criminal records that would disqualify them from being a nurse aide.
  • Proof of Training Certificate: A certificate that verifies the completion of a state-approved nurse aide training program, confirming that the applicant has met the educational requirements.
  • Competency Evaluation Results: This document provides evidence that the applicant has successfully passed a state-approved competency examination, demonstrating their skills and knowledge in nursing tasks.
  • Employment Verification Letters: Letters from previous employers confirming the applicant's work history and experience as a nurse aide. These letters must indicate the duration and nature of the employment.
  • Texas Motor Vehicle Bill of Sale: This form certifies the sale and transfer of ownership of a motor vehicle in Texas. For more details, click here to download the pdf.
  • Social Security Card: A copy of the applicant's Social Security card is necessary to verify their identity and ensure compliance with federal regulations.
  • Government-Issued ID: An unexpired photo ID, such as a driver's license or passport, is required to confirm the applicant's identity and match it with their Social Security card.
  • Name Change Documentation: If the applicant's name has changed, they must provide legal documents such as a marriage certificate or divorce decree to verify the name change.
  • Reciprocity Application Form: For those applying for reciprocity from another state, this form details the applicant's qualifications and previous state registrations.
  • Application Fee Payment Receipt: A receipt showing that the required application fee has been paid, which is necessary for processing the application.

Gathering these documents can be time-consuming, but it is essential for a successful application to the Nurse Aide I Registry. Ensuring all forms are complete and accurate will facilitate a smoother review process and help applicants achieve their career goals in the healthcare field.

Key takeaways

Filling out the South Carolina Nurse Aide form is a critical step for those seeking to be listed on the Nurse Aide I Registry. Below are key takeaways to keep in mind:

  • Eligibility Requirements: Ensure you meet all five criteria outlined in Part 1 before proceeding with the application.
  • Application Completeness: Submit all pages (1 through 6) along with any required documentation. Incomplete applications will not be processed.
  • Ink Color: Use only black or blue ink. Other colors may not be legible when faxed.
  • Submission Methods: You can return the completed application either by mail or fax. Be sure to use the provided contact information.
  • Active Status: You must be listed as active and in good standing on another state registry. Temporary listings are not acceptable.
  • Employment Verification: You need to have worked at least eight hours performing nursing-related tasks in the past two years.
  • Identification Matching: Your social security card and government-issued ID must have matching names. If they differ, provide documentation of name changes.
  • Documentation for Active Listings: Include proof that your registry listings are active and in good standing, dated within the last 30 days.
  • Military Service: If applicable, indicate any military service or if you worked in a military occupational specialty related to nursing tasks.
  • Employment Type: Ensure that your employment history reflects roles that meet the eligibility criteria, excluding private duty nurse aide work.

Understanding these points can help streamline the application process and improve your chances of successful registration. Take your time to review each section carefully before submission.