Applications and Documents
Licensure
- Application for Initial Licensure
The Board will accept the National Association of Long Term Care Administrator Boards (NAB) Administrator In Training (AIT) Program 2012 version or 2015 version for any AIT program that begins on or before July 1, 2017. Any AIT program that begins after July 1, 2017 must comply with the NAB Administrator In Training Program 2015 version.- Administrator-in-Training Manual (2015 Version) from the National Association of Long Term Care Administrator Boards (NAB).
- Administrator In Training and Preceptor Agreement
- Administrator In Training Monthly Reporting Form
- Administrator In Training Documentation of Completion and Hours
- Application for Reciprocal Licensure
- Application for Inactive Status of License
- Application to Reactivate License
- Examination Registration | South Dakota Administrative Rule 44:73 and 44:74 (covered in the state exam)
- Verification of Licensure - Request Letter
Preceptors
- Application for Certified Preceptor
- The Board strongly recommends that all preceptors take the NAB-ACHCA online Preceptor Training Course. This course is free, available online, and includes four 1.25 hour modules that qualify for continuing education.
- Preceptor and Emergency Administrator Agreement
- Preceptor - Emergency Permit Holder Monthly Reporting Form
Emergency Permits
Continuing Education