Application Form -On-line (2)

Page 1


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

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