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Board of Long-Term Care Administrators
Forms & Applications

 

 

 

Nursing Home Administrator Forms:

Application for Nursing Home Administrator Licensure

Applications for Licensure as a Nursing Home Administrator are now accepted online. Click here to begin the online application process.

Application for Administrator-In-Training

Applications for Licensure as a Nursing Home Administrator-In-Training are now accepted online. Click here to begin the online application process.

For a list of licensed Preceptors who volunteered their contact information be posted in a public directory, please click on the following link:  Preceptor Directory

Application for Registration as a Preceptor

Applications for Registration as a Nursing Home Administrator Preceptor are now accepted online. Click here to begin the online application process.

Application for Reinstatement

Continuing Competency

 

 

Assisted Living Facility Administrator Forms:

ALF-AIT Education and Experience Matrix

ALA Application for Licensure

Applications for Initial Licensure and Endorsement as a Assisted Living Facility Administrator are now accepted online. Click here to begin the online application process.

ALA Application for Reinstatement

ALA Application for Administrator-in-Training

Applications for Initial Licensure as a Assisted Living Facility Administrator-in-Training are now accepted online. Click here to begin the online application process.

For a list of licensed Preceptors who volunteered their contact information be posted in a public directory, please click on the following link:  Preceptor Directory

ALA Application for an “Acting” Administrator-in-Training

ALA Application for Certification as a ALA Preceptor

Applications for Initial Certification as a Assisted Living Facility Administrator Preceptor are now accepted online. Click here to begin the online application process.

Continuing Competency

 

Other Forms

 

National Association of Long-Term Care Administrator Boards (NAB)

 

The above documents are in Microsoft Word format. If you do not have Microsoft Word, you can get the Microsoft® Word Viewer to view and print documents.