Application Status Query

Instructions: 

Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.

Please verify the checklist information below, including your address. If your address has changed, please e-mail your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.

As of  :  05/06/2008
Application#  :  308276
Name  :  HACKER, CALLENDA A
Profession  :  Temporary Education Training Permit
Address  :  Lubbock, TX
Application Status  :  (Temporary permit issued)


Requirements Not Met:
Description Status Comments (Please note, not all requirements will include comments)

Requirements Met:
Description Status Comments (Please note, not all requirements will include comments)
PAGE 1 Applicable blanks completed Met
Application Fee Met
$
All activities and practice accounted for from the date of graduation to the present. Provide hospital name, location (city&state) and beginning and ending dates (month&year) Met
PAGES 2 & 3 All questions answered and relevant copies attached Met
PAGE 4 Affidavit of applicant, signed and notarized Met
PAGE 5 Affidavit of hospital authority Met
DOCUMENTS REQUIRED Addendum to Application (Form #2380) Met
Professional Diploma (photocopy) Met