Oklahoma Administrative Code
Title 310 - Oklahoma State Department of Health
Chapter 2 - Procedures of the State Department of Health
Subchapter 15 - Application Forms
Section 310:2-15-3 - Uniform Employment Application for Nurse Aide Staff

Universal Citation: OK Admin Code 310:2-15-3

Current through Vol. 41, No. 13, March 15, 2024

(a) The application described in OAC 310:2-15-3 is required for use pursuant to 63 O.S. § 1-1950.4 and shall be used for the purposes set forth in that statute.

(b) The uniform employment application for nurse aide staff requires the following:

(1) personal information;

(2) employment desired;

(3) U.S. military record;

(4) prior work history;

(5) educational background;

(6) certification;

(7) references;

(8) background information;

(9) applicant's employment application certification and agreement;

(10) previous certified nurse aide training;

(11) applicant's signature certifying no previous conviction and authorizing criminal history record checks; and

(12) Any additional information needed to answer all questions fully.

Added at 18 Ok Reg 646, eff 1-10-01 (emergency); Added at 18 Ok Reg 2026, eff 6-11-01; Amended at 24 Ok Reg 1896, eff 6-25-07

Disclaimer: These regulations may not be the most recent version. Oklahoma may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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