Prior to being assigned to teach the nurse aide education program, all instructional personnel shall demonstrate competence to teach adults by one of the following: Satisfactory completion of a course in teaching Yes No N/A Verified Unable to verify N/A adults that includes: Comments: Basic principles of adult learning; Teaching methods and tools for adult learners; and Evaluation strategies and measurement tools for assessing the learning outcomes; or Have experience in teaching adults or high Yes No N/A Verified Unable to verify N/A school students. Comments: To meet planned program objectives, the program Yes No N/A Verified Unable to verify N/A may, the direct, on-site supervision of the Comments: primary instructor, use other persons who have expertise in specific topics and have had at least one year of experience in their field. Resource(s) Name(s) License # (if applicable)/ Expiration Date of Hire Other Credentials (P.T.; O.T.; L.C.S.W; N.H.A., etc.) PROGRAMS: Please list the names, titles, addresses and phone numbers of the people who will be sent the final report: Name: Name: Title: Title: Address: Address: Phone Number: Number: Email Address: Address: Name: Name: Title: Title: Address: Address: Phone Number: Phone Number:
Prior to being assigned to teach the nurse aide education program, all instructional personnel shall demonstrate competence to teach adults by one of the following: Satisfactory completion of a course in teaching adults that includes: Basic principles of adult learning; Teaching methods and tools for adult learners; and Evaluation strategies and measurement tools for assessing the learning outcomes; or Yes No N/A Verified Unable to verify N/A Comments: Have experience in teaching adults or high school students. Yes No N/A Verified Unable to verify N/A Comments: To meet planned program objectives, the program may, the direct, on-site supervision of the primary instructor, use other persons who have expertise in specific topics and have had at least one year of experience in their field. Yes No N/A Verified Unable to verify N/A Comments: Resource(s) Name(s) License # (if applicable)/ Expiration Date of Hire Other Credentials (P.T.; O.T.; L.C.S.W; N.H.A., etc.) PROGRAMS: Please list the names, titles, addresses and phone numbers of the people who will be sent the final report: Name: Title: Address: Phone Number: Email Address: Name: Title: Address: Number: Address: Name: Title: Address: Phone Number: Name: Title: Address: Phone Number:
OnSite_Visit_Report_Form_NurseAide.docx