Instructions for Change in Polysomnography Primary Instructor:

Please complete the following six (6) Steps.

1.    Complete this "Change in Program Personnel" Template and put on your Program Letterhead.  

2.    Provide a copy of the institution's Letter of Appointment and Acceptance. 

       This letter must contain the following (4) items:        

	Signed by the President/CEO  -or-  Dean/Administrator
	Position Title
	The effective (start) date
	A guarantee of faculty appointment

        NOTE: If you do not have a "Letter of Appointment and Acceptance"  and need to create one,

        you may use this template.

3.    Provide a copy of the Primary Instructor's Resume (showing required clinical experience).

4.    Provide a copy of the Primary Instructor's RPSGT Certificate.

5.    Provide a copy of the Primary Instructor's college transcript (associate degree or higher)

6.    Please mail all five (5)  documents to:     

         CoARC

       Mallory Nutt

       1248 Harwood Rd.
       Bedford, Texas  76021