Section 3. Instructor Information/Changes
Instructors applying to teach Core Basic, Dementia Specialty, Mental Health Specialty, Developmental Disabilities, and/or Expanded Specialty Training (Traumatic Brain Injury Specialty and Diabetes Specialty) must submit copies of their specialty training certificates, if applicable, and Adult Education certificates with their Facility Instructor Application (DSHS 15-554).
Section 4. Instructor Attestation for Orientation, Safety, and CE Instructors.
Read and complete the attestation below.
By filling in your name, job title, and date below, you attest that you:
• Have verified all instructors meet the Facility Instruction Qualification Requirements (DSHS 22-1855).
• Have on file the verifying information for each instructor.
• Have submitted true, complete, and accurate information.