New York State Nursing Home Administrator Continuing Education Credit Report

From 2006 to 2007

(Refer to Nursing Home Administrator Continuing Education Program Guidelines for requirements. See also Instructions for use.)

Print and submit the attached report to the Board of Examiners of Nursing Home Administrators ONLY when submitting a completed application for registration renewal or reactivation of your license to document fulfillment of your Continuing Education (CE) requirement. Use as many sheets as is needed to report approved CE programming you attended to meet the minimum forty-eight (48) CE credit hour requirement. You must sign the certification at the bottom of each report page used for your application. Incomplete Reports cannot be processed.

Continuing Education Credits Report Form