• Application for Admission to HSEC Training Center, LLC

    Please fill the form out below accurately and completely
  •  -  -
    Pick a Date
  •  -
  •  -
  •  -
  • Education

  • *GED certification date: *any student UNDER the age of 18 must hold a GED certificate or a high school diploma or they must sign the enrollment agreement jointly or with a parent or guardian.

  •  -  -
    Pick a Date
  • Background

  • NOTE: Every health care center in the State of Oklahoma is required by law to run a criminal background check through the OSBI on their new employee(s) who will be delivering direct patient care. The employer of a health care aide will be given a list of unlicensed convictions, if applicable, of the applicant for certain specified crimes when the criminal background check is done.

  • Should be Empty:
Jotform Logo
Now create your own Jotform - It's free! Create your own Jotform