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RN Instructor Login Request Application

Complete this form and submit it. Once approved, you will receive a login to Wyoming TMU© where you can enter and complete nurse aide students which will allow them to register and take the nurse aide state competency exams.
Address
RN License Information
Affidavit
I attest that by completing this application: 
  • I am an active RN with experience to certify the completion of students' training in nurse aide training programs.
  • I have met the requirements of a Wyoming nurse aide instructor and can enter and certify completion of training of nurse aide candidates (as per federal guidelines § 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.
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