Fillable APD - 65G-7 Medication Administration Trainer Training Exam (Florida)

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APD - 65G-7 Medication Administration Trainer Training Exam (Florida)

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APD - 65G-7 Medication Administration Trainer Training
Exam Attestation Statement
AGENCY FOR PERSONS WITH DISABILITIES
PAGE: 1
Created: 9/4/2020 Revised:
Agency for Persons with Disabilities
Course and Exam Attestation Statement
I understand that whether the information is provided in the classroom or online, I am not
permitted to share the information or my certificate. I attest that I have completed all
classroom requirements to complete this course. By signing below, I attest that I have
personally completed the exam and the answers and that it is true and accurate to the best of
my knowledge.
65G-7 Medication Administration Trainer Training
Name of Course
__________________________________________
Name of Student
__________________________________________
Signature of Student
__________________________________________
Date of Exam Completion
How to complete the form.
1. Enter your full name in the Name of Student field
2. Enter your electronic signature (If you do not have an e-signature, you must print, sign, and scan the form)
3. Enter the date you completed the Exam in TRAIN Florida
Only Medication Administration Trainer learners are authorized to register for this course. If you are
not authorized, please do not register for the course.
Introduction / Instructions
All Medication Administration Trainer students are required to complete and signed the Medication
Administration Trainer Training Course exam attestation statement.
The learner must download, sign, and email the Medication Administration Trainer Training Course
Attestation to their Regional Office MCM. You will not receive your certificate until the Regional Office
MCM has your Attestation.
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APD - 65G-7 Medication Administration Trainer Training Exam (Florida)

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Completed 8 October 2021

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