STATE OF NEVADA BOARD OF EXAMINERS FOR LONG 2025

1. Click ‘Get Form’ to open the STATE OF NEVADA BOARD OF EXAMINERS FOR LONG in the editor.
2. Begin by entering the date at the top of the form. Ensure you format it correctly for clarity.
3. In the 'I, __' section, input your name as the Preceptor. This identifies you as the responsible party.
4. Fill in the details for the Administrator-in-Training (AIT) including their name and facility information such as address, city, state, and zip code.
5. Specify the commencement date of training in the designated field to ensure accurate record keeping.
6. Review your responsibilities and course content areas outlined in the agreement to confirm understanding before signing.
7. Sign and print your name as both AIT and Preceptor where indicated, ensuring all signatures are clear and legible.
8. Finally, submit your completed form through our platform for processing by BELTCA.

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