Fillable Arizona State Board of Nursing (Arizona State Board of Nursing)

Fill Online, Printable, Fillable, Blank Arizona State Board of Nursing (Arizona State Board of Nursing) Form

Use Fill to complete blank online ARIZONA STATE BOARD OF NURSING (AZ) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Arizona State Board of Nursing (Arizona State Board of Nursing)

On average this form takes 6 minutes to complete

The Arizona State Board of Nursing (Arizona State Board of Nursing) form is 1 page long and contains:

  • 2 signatures
  • 0 check-boxes
  • 15 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Arizona State Board of Nursing

BROWSE ARIZONA STATE BOARD OF NURSING (AZ) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Arizona State Board of Nursing
1740 W Adams Street, Suite 2000
Phoenix. AZ 85007
Phone: 602- 771-7800
Website: www.azbn.gov
APPLICATION FOR REVIEW OF
ACCREDITED FULLY APPROVED NURSING PROGRAMS
This application and the accompanying information is intended to assist your program in the review
process. Site visits will not be scheduled until the complete self-study is submitted and reviewed. It may
take up to 30 days to review the self-study.
Program Name: ______________________________________________________________________
Parent Institution: _____________________________________________________________________
Address: ____________________________________________________________________________
Phone: _____________________________________________________________________________
Nursing Administrator: ________________________________________________________________
Administrator Phone: _________________________________________________________________
Administrator Email: _________________________________________________________________
Date of last approval from the Board: _____________________________________________________
Other Sites: __________________________________________________________________________
Anticipated date you will submit self-study: ________________________________________________
Preferred dates of site visit: _____________________________________________________________
______________________________________________________________________
Director of Program (Signature) Date
______________________________________________________________________
Print Name
______________________________________________________________________
Administrator of Parent Institution (Signature) Date
______________________________________________________________________
Print Name
click to sign
signature
click to edit
click to sign
signature
click to edit
INSTRUCTIONS FOR REVIEW OF
ACCREDITED FULLY APPROVED NURSING PROGRAMS
In order to help you prepare the self-study, the following documents are available on the Board
website www.azbn.gov or at the links provided:
Nurse Practice Act (contains the Statutes & Rules)
Please contact us for concerns or questions during application process.
GUIDELINES FOR REVIEW OF ACCREDITED PROGRAMS
A. Maintaining Full Approval:
1. A program seeking national accreditation or re-accreditation shall inform the Board at least 30
days in advance of any pending visit by a nursing program accrediting agency and allow Board
staff to attend all portions of the visit. (Per R4-19-213.B)
2. Programs will submit to the Board:
• Self-study
• Site visit agenda
• Grievances
• Evaluations for:
Faculty
Didactic courses
Clinical courses
Simulation courses
3. Board staff will review the materials and notify the program of potential deficiencies.
4. Board staff will attend selected portions of the site visit.
5. Board staff will create a site visit summary report for the Board.
6. An approved program, per R4-19-213.C, shall submit a complete copy of all site visit reports to
the Board within 15 days of receipt by the program and notify the Board within 15 days of any
change or pending change in program accreditation status or reporting requirements.
7. Board staff will submit the site visit summary report and accreditation reports to the Board for
information only.
Unless otherwise notified by the Board following receipt and review of the documents required by R4-
19-213 subsections (A), (B) and (C), a nationally accredited nursing program continues to have full-
approval status. (Per R4-19-213.F)
Note: Under A.R.S. § 32-1644(D) the Board may periodically re-survey a nationally accredited program
to determine compliance with this Article and require a self-study report. Board site visits may be
conducted in conjunction with the national accrediting team.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Arizona State Board of Nursing (Arizona State Board of Nursing)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 12 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document