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MEDICATION AIDE: Primary MA Training Instructor Login Request Form Application

Please complete this form if you are an Instructor in an Tennessee Board of Nursing (TBON)-approved medication aide Training Program in Tennessee and would like to access TMU©.

You will then be able to enter new students' training records into the TMU© software and complete their training when they have successfully completed your program. Once a candidate's training record is completed, you will be able to register them for their state competency evaluation testing.

NOTE: If you are an instructor for multiple training programs, please list the programs and upload your documentation under the Medication Aide Training Program Affiliation section.

Once you have completed all of the fields and uploaded the required documents within this application, select “Send Application" to submit your application.

Legal First Name

Middle

Legal Last Name

Birthdate

Phone

Address

City

State

Zipcode

RN License Information

License Number

Expires

Medication Aide Training Program Affiliation

Name of Medication Aide Training Program Select your training program from the drop-down list.

Upload documentation that you are a TBON-approved medication aide Primary Instructor for the program listed above.

Are you a TBON-approved Primary Instructor for other programs?

If you selected YES, that you are a TBON-approved Primary Instructor for other programs, please list each program.

If you selected YES, that you are a TBON-approved Primary Instructor for other programs, please upload your documentation for the additional programs you listed above (you may upload multiple documents if needed.)

Affidavit

I have uploaded my documentation showing that I am a TBON-approved medication aide Primary Instructor.
If I am an instructor for multiple programs, I have listed those programs and uploaded my documentation showing that I am a TBON-approved medication aide Primary Instructor.

By Submitting

I hereby verify that I understand and agree with the statements contained herein and the above information is true and correct.