Skip to content

Nevada Nurse Apprentice Program

Visit NRHP.org
  • Home
  • Facility Information
    • Nurse Apprentice Program ARPA Grant RN Payment Request
    • Nurse Apprentice Program ARPA Grant LPN Payment Request
    • Nurse Apprentice Program ARPA Grant – Retention Request
  • Student Information
    • Nurse Apprentice Program ARPA Grant – Travel Request
  • Contact Us
Nurse Apprentice Program ARPA Grant LPN Payment Requestnrhpadmin2023-03-16T22:27:08+00:00

Nurse Apprentice Program ARPA Grant LPN Payment Request

MM slash DD slash YYYY
If your facility is not listed, please contact us. An established Nursing Apprentice Program is required.
Requestor(Required)

Nurse Apprentice Name(Required)
For those facilities that have both SNF and Acute - please report the hours worked in each department (must match the total monthly hours reported)
Max. file size: 16 MB.
Required for validation
Please tell us where your student nurse is attending school so we can add it to the list.
Enrollment Status(Required)
By checking this box, you attest that the nurse apprentice is actively enrolled and in good standing in an accredited nursing program. This is a mandatory requirement.
Clinical Skills Checklist(Required)
By checking this box, you attest that the nurse apprentice has provided a clinical skills checklist from their nursing program and an updated copy is on file. This is a mandatory requirement.

Nurse Apprentice Program ARPA Grant LPN Payment Request

MM slash DD slash YYYY

If your facility is not listed, please contact us. An established Nursing Apprentice Program is required.
Requestor(Required)

Nurse Apprentice Name(Required)

For those facilities that have both SNF and Acute – please report the hours worked in each department (must match the total monthly hours reported)

Max. file size: 16 MB.

Required for validation

Please tell us where your student nurse is attending school so we can add it to the list.
Enrollment Status(Required)
By checking this box, you attest that the nurse apprentice is actively enrolled and in good standing in an accredited nursing program. This is a mandatory requirement.
Clinical Skills Checklist(Required)
By checking this box, you attest that the nurse apprentice has provided a clinical skills checklist from their nursing program and an updated copy is on file. This is a mandatory requirement.

CONTACT US
Nevada Rural Hosptial Partners
4600 Kietzke Lane, Suite I-209
Reno, Nevada 89502
Phone: 775-827-4770  –  Fax: 775-827-0938

Page load link
Go to Top