It is each applicant's responsibility to see that they use the correct and most
recent version of the CEARP Guidelines.
Please note: The documents contained in the CEARP Guidelines / Applications
Forms packets are in Microsoft Word format. If you do not have Microsoft Word installed
on your computer, you may download and install the free Microsoft Word Viewer. To
download and save forms, right click on each link and select "Save target as..."
or "Save link as..." Then, select a location to save the forms, and click
"Save."
Return the completed forms to WSNA by mail, to:
CEARP Guidelines
WSNA
575 Andover Park West, Suite 101
Seattle, WA 98188
Provider Unit Application Packet
Download individual forms (Microsoft Word .doc format)
Provider Unit Guidelines
- General Information
- Eligibility Requirements
- Approval Process For Provider Unit Applications
- Sample Completed Intent to Apply Form
- Sample Completed Intent to Reapply Form
- Criteria for Approval as a Provider Unit
- Sample Completed Provider Unit Application Form
- Attestation Statement Regarding Operational Requirements
- Sample Completed Bio Data Form for Provider Unit Personnel
- Sample Completed Provider Unit Evaluation Form
- Provider Unit Application Review Form
- Frequently Asked Questions
Intent to Apply as a Provider Unit
Intent to Reapply as a Provider Unit
Application Form for Provider
Provider Unit Blank Forms
Once You Are Approved...
You must use the following Provider Unit forms for all planned Provider Unit CNE activities. Again, DO NOT use the standard Faculty-Directed or Independent Study forms found elsewhere on this site. You must use the Provider Unit versions of the forms found via the following two links:
