I hereby acknowledge that the information above is true and correct. I understand that false or inaccurate information will be basis for termination from this program. I understand this program’s attendance requirements and refund policy. If my background check indicated that I have been convicted of a disqualifying crime, I may be ineligible for employment as a caregiver in my state and not permitted to attend this course.

Consent of Parent or Legal Guardian if Above Individual is a Minor.

I consent and agree, individually and as a parent or legal guardian of the minor named above, to the foregoing terms and provisions.

ENROLLMENT AGREEMENT

Nurse Assistant Training Program

The training and recruitment for the Nurse Assistant Training is done in English; students are required to read and write English at a minimum of 8th grade. All training information is presented prior to enrollment in the class. The information given may be shared with parties to gain understanding.

Each student will be responsible for additional expenses, such as the cost to take the State Exam, TB testing, fingerprinting, and uniform.

The class hours meet the guidelines for State Approved Nurse Assistant Training hours in this state. We reserve the right to cancel any class for which there is insufficient enrollment or deny enrollment if the class is filled to capacity. There is no guarantee of transferability to other states or institutions but copies of academic/attendance records will be provided upon written request. Upon completion of the program, the student will receive a certificate and be qualified to take the state certification exam.

By signing you agree to the terms stated therein. You will be responsible for the full payment of all tuition and fees. In signing this Enrollment Agreement, you state that your responses on the admission application are true and correct, and you meet the admission requirements which you have been given.