Submit New Application

NURSE AIDE: Program Coordinator Login Request Form Application

Please complete this form if you are an Arizona Board of Nursing approved Certified Nursing Assistant Program Coordinator who would like to request access to TMU©.  
Once your application is approved, you will receive an email and text message with your Username and Temporary Password to sign in to your TMU© Instructor Account.  You will be directed to change your password and then you will 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 certified nursing assistant exam, or the candidate will be able to schedule themselves into a test event.

NOTE:  If you are a Program Coordinator for multiple training programs, please fill out a separate application for each program.  You will need a new email for each Instructor account, the same email cannot be used.

Once you have completed all of the fields within this application, select “Send Application" to submit your application.
Address
RN License Information
CNA TRAINING PROGRAM AFFILIATION
Affidavit
  • I am an Arizona Board of Nursing approved Program Coordinator for the facility entered on this application.

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