TX HHS Form 5513-NATCEP. Request to Take the Competency Evaluation Program (CEP) Based on Competency in Basic Nursing Skills as an RN/LVN Student

The TX HHS Form 5513-NATCEP is a request form for RN/LVN students to take the Competency Evaluation Program (CEP) based on their competency in basic nursing skills. This program is designed for individuals who are currently enrolled or have been enrolled within the past 24 months in a state-accredited school of nursing in any state, and have demonstrated competency in providing basic nursing skills according to their school's curriculum.

This form should be used by RN/LVN students who meet the CEP requirements listed at §26 TAC 556.11(c)(2)-(3) of the Licensing Standards for Nurse Aides. The form requires submission of criminal history results, which must be obtained from the Texas Department of Public Safety (DPS). Additionally, individuals requesting to take the CEP must not be listed as unemployable on the Employee Misconduct Registry (EMR), nor have a conviction of a criminal offense listed in Texas Health and Safety Code §250.006.

The form consists of three sections: I provides an overview of the program and requirements, II requires submission of personal information, including name, social security number, date of birth, email address, and contact phone numbers. Section III is reserved for instructions on how to obtain a criminal history check from the DPS and submitting the results along with this application.