

Application Form
COURSES
Nurse Aide Class – day class August 11, 2025
Monday, Wednesday, Friday 9:00AM-2:00PM
Personal Care Assistant –day class Monday – Friday 9:00AM6:00PM – offered every other week each month
Registered Medication Aide June 2nd Mon-Friday 9:00AM-2:00PM
CONTACT INFORMATION

PREREQUISITES FOR CLASSES – PLEASE CHECK ALL THAT APPLY -
HIGH SCHOOL DIPOLMA OR GED
MUST BE ABLE TO READ AND WRITE IN ENGLISH THE FOLLOWING ARE FOR THE RMA CLASS ONLY (please provide a copy of the certificate you check below)
SUCCESSSFUL COMPLETION OF A 40-HOUR DIRECT CARE STAFF TRAINING
SUCCESSFUL COMPLETION OF A 40-HOUR PERSONAL CARE AIDE TRAINING
SUCCESSFUL COMPLETION OF A BOARD OF NURSING APPROVED NURSE AIDE PROGRAM
SUCCESSFUL COMPLETION OF ONE CLINICAL COURSE OF A NURSING PROGRAM