Loading
Get Ca Cdph 502 2015-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the CA CDPH 502 online
The CA CDPH 502 form is essential for applicants seeking entry into the Administrator-In-Training (AIT) program under the California Department of Public Health. This guide provides a thorough overview of how to complete the form online, helping users of all backgrounds navigate the process with confidence.
Follow the steps to fill out the CA CDPH 502 online.
- Press the ‘Get Form’ button to access the CA CDPH 502 form and open it in the online editor.
- Attach a recent photo of yourself, preferably sized around 2" by 2", in the designated area for identification purposes.
- Fill in your name, including your last name, first name, and middle initial.
- Provide your mailing address, which includes the number, street, city, county, state, and zip code.
- Enter your social security number, followed by your work telephone number, home telephone number, fax number (optional), and email address.
- Indicate your date of birth using the format MM/DD/YYYY.
- Answer the following eligibility questions by selecting 'Yes' or 'No' as appropriate, providing additional information if necessary.
- Complete the education section by providing details related to your education history, including any degrees obtained.
- Detail your employment history starting with your most recent job. List your job titles, dates worked, and responsibilities clearly.
- Complete the nursing home work experience section, ensuring to document ten years of required experience and supervisory roles, if applicable.
- Fill in the preceptor information, making sure to provide all necessary details and verify the application package is complete.
- After verifying that all fields are correctly filled out, save your changes. You may then download, print, or share the completed form as necessary.
Complete your CA CDPH 502 form online today to take the next step towards your AIT program application.
The California Board of Nursing generally takes approximately 4 to 8 weeks to process and post your nursing license after you submit your application. To expedite your application, ensure all documents are complete and correct. If you have questions, reach out to the CA CDPH 502 for specific updates.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.