Okla. Stat. tit. 63, § 63-1-1950.4

A. 1. The State Department of Health, in conjunction with the

Office of the State Long-term Care Ombudsman of the Department,

shall develop a uniform employment application to be used in the

hiring of nurse aide staff by a nursing facility or a specialized

facility as such terms are defined in the Nursing Home Care Act, a

residential care home, as such term is defined by the Residential

Care Act, an assisted living center as such term is defined by the

Continuum of Care and Assisted Living Act, a continuum of care

facility as defined by the Continuum of Care and Assisted Living

Act, a hospice inpatient facility or program providing hospice

services as such terms are defined by the Oklahoma Hospice Licensing

Act, an adult day care center as such term is defined by the Adult

Day Care Act, and a home care agency as defined by the Home Care

Act. Such uniform application shall be used as the only application

for employment of nurse aides in such facilities on and after

January 1, 2001.

2. Nothing in this section shall prohibit the State Department

of Health or any other state agency from requiring applicants for

any position in the classified service to be certified by the state

using the State of Oklahoma employment application.

Oklahoma Statutes - Title 63. Public Health and Safety Page 764

B. The uniform employment application shall be designed to

gather all pertinent information for entry into the nurse aide

registry maintained by the State Department of Health. The uniform

application shall also contain:

1. A signature from the applicant to confirm or deny any

previous felony conviction;

2. A release statement for the applicant to sign giving the

State Department of Health and the Oklahoma State Bureau of

Investigation the authority to proceed with the state or national

criminal history record checks; and

3. Such other information deemed necessary by the Department.

C. The Department shall provide implementation training on the

use of the uniform employment application.