COVENANT CNA SCHOOL

Quality Standards of Excellence with an Unparalleled Commitment to Patient Care

ONLINE REGISTRATION

ONLINE REQUIREMENTS:

Online applicants must complete an Interview Assessment at Covenant CNA School, have a Background Check, have a Social Security Card and have a valid photo id (Driver License / State Issued Id) in order to complete the Registration and Admission process before the First Day of Class.

Online applicants must either submit a current background check from the Sheriff's Department or we can process one for a fee of $15.00.

If you have been convicted of a Felony you are ineligible for the Certified Nurse Aide Program. Inquire with our Admission Advisor for more information. Students are responsible for ensuring the Covenant CNA School receives all documentation. All records become property of the Covenant CNA School.

Covenant CNA School Registrar handles all matters related to the billing and collection of tuition and fees. All students who register will receive a registration confirmation / billing statement that includes total tuition and fee charges.

Online Registration includes a $25.00 Application fee, a $15.00 Background Check fee and $250.00 Deposit to reserve your seat in class for the Certified Nursing Assistant Program.

All monies received are Non-Refundable.

APPLICATION PROCESS:

The application process is in two parts listed below:

1. Fill out online application and submit.

2. After submitting application proceed to Pay Pal and click on the Pay Pal icon to proceed with online payments.

FORMS OF PAYMENT:

Covenant CNA School is a verified PayPal merchant. PayPal payments are the easiest and safest way to pay online. When clicking the 'pay now' button below you have a choice of either using your credit card or create a PayPal account if you do not have one.

All major Credit / Debit Cards are accepted: MasterCard, Visa, Discover, and American Express.

APPLICANT INFORMATION

First Name:
Last Name:
Date of Birth:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Daytime Phone:
Cell Phone:
Email:
Program
CITIZENSHIP
Are you a citizen of the United States? Yes or No
If no, are you authorized to work in the U.S.? Yes or No
EDUCATION
Have you graduated from high school or received a GED?: Yes or No
Year ?:
How did you here about us?:
FUNDING
Workforce Investment Act (WIA) / Scolarship.
DISCLAIMER AND SIGNATURE
I agree to comply with the rules and standards of Covenant C.N.A School. My signature below signifies that the information I have furnished on this form is complete and correct to the best of my knowledge. If this application leads to my acceptance into a healthcare program, I understand that false or misleading information in my application or interview may result in my release.
Signature (First and Last Name):
Date:

All personal data provided throughout this application is secure and is kept strictly confidential.

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ONLINE REGISTRATION