wpesig-user-profile

{{gravity-field-id-33}}-{{gravity-field-id-28}}-{{gravity-field-id-29}}-{{gravity-field-id-10}}-RN-{{gravity-field-id-44}} hours

Galina Tolle

Final step. Click on "Agree & Finish” to finish signing.

Document complete.

1 of 1 page

I am and I agree to be legally bound by this agreement and WP E-Signature Terms of Use.

NEXT

Nevada Rural Hospital Partners Foundation

Nurse Apprentice Program ARPA Grant 


RN Monthly Payment Request  

 

Thank you for submitting your Monthly Nurse Apprentice timesheets for payment. The following is a summary of the data you entered on . 

has requested reimbursement of salary expenses for . The request is for hours of employment as an RN apprentice during the month of ,

The following documentation has been uploaded to validate this request -  

Reimbursement for RN Nurse Apprentice salary is at an hourly rate of $25.00, plus an additional hourly rate of $3.00 for the Registered Nurse supervising the Nurse Apprentice.
This brings your total request for reimbursement to .

By signing this agreement, you are validating that all information is correct and accurate.

Please Review & Sign This Document

wpesig-user-profile

{{gravity-field-id-33}}-{{gravity-field-id-28}}-{{gravity-field-id-29}}-{{gravity-field-id-10}}-RN-{{gravity-field-id-44}} hours

Galina Tolle

Please review the document below

You're done signing! {{gravity-field-id-33}}-{{gravity-field-id-28}}-{{gravity-field-id-29}}-{{gravity-field-id-10}}-RN-{{gravity-field-id-44}} hours

Terms of Use

Loading terms of use...