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CERTIFIED NURSE AIDE TRAINING PROGRAM …

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________________________________________ ________________________________________ ____ BPSS Health Form 105a - Revised 03/03/16 - Adapted from BPSS NURSE Aide TRAINING Booklet and NYS Dept. of Health Curriculum CERTIFIED NURSE AIDE TRAINING PROGRAM (NATP) clinical skills PERFORMANCE RECORD EVALUATION checklist CNA STUDENT NAME: ________________________________________ _______________________ SCHOOL NAME: ________________________________________ _____________________________ INTERNSHIP SITE (full name and address):_______________________________ _________________ PRIMARY INSTRUCTOR: _________________INTERNSHIP SUPERVISOR: ___________________ DATES OF CNA TRAINING : FROM ____/____/____ TO ____/____/____ DATES OF INTERNSHIP.

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