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During the COVID-19 Pandemic we too are doing our part to ensure we are using safe practices. Our Online PCA class will include a skills with test your knowledge exercise segment. There are no on-site requirements. Please sign your name indicating you have read and understand this message.
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ALL APPLICANTS MUST BE ABLE TO READ, WRITE, SPEAK, AND UNDERSTAND ENGLISH FLUENTLY. Do you read, write, speak and understand English fluently?
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
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Isle of Man
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Student E-mail
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*** PLEASE DO NOT USE WORK OR SCHOOL EMAIL ADDRESSES ** THESE EMAIL ADDRESSES ARE OFTEN BLOCKED BY FIREWALLS
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Phone Number
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Have you ever been convicted of threatening another person, assault, battery, or theft?
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This will not prevent you from taking the class but it may prevent employment with some establishments
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Have you ever been charged with a misdemeanor?
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Have you ever been convicted of a felony?
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This will not prevent you from taking the class but it may prevent employment with some establishments
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Emergency Contact Name
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Emergency Contact Phone Number
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Emergency Contact's Relation to the Student
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How did you hear about us?
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2024 PCA Class Schedule
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Choose Class start date
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ONLINE MEDICATION AIDE STUDENTS ONLY : Students are required on campus the first week of class for skills practice. This practice will be on Thursday from 4:00pm - 8:00pm. Please initial to acknowledge you have read this. If this does not apply to you please write n/a. DUE TO COVID-19 THIS SCHEDULE WILL BE FLEXIBLE WHEN WE ARE ABLE TO SAFELY HOLD SKILLS LAB, WE WILL HAVE AN EVENING CLASS AND DAYTIME CLASS FOR SKILLS LAB.
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Please upload a picture of your PCA , Nurse Aide , or CNA certificate. We will verify all certificates. If we are unable to verify your certificate, your enrollment will be cancelled.
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Why did you decide to become a Personal Care Aide?
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The school reserves the right to deny admission based on information obtained from the criminal background check. If admission is denied the applicant is entitled to a full refund. Please initial
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Please enter your initials to acknowledge $175 of your payment is nonrefundable. If an applicant wishes to change their enrollment to the next class, the applicant must provide a written transfer notice (email accepted) at least 7 business days before the start date of the class they are currently enrolled. Otherwise, $175 will be non-transferable. Students are allowed one class transfer only. Please initial
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Cancellation- To receive a refund of tuition payments (this does not include the non-refundable $175 deposit) the applicant must provide the school with a written notice of cancellation (email accepted) at least 7 business days(this does not include the weekend) before the start date of the class they are currently enrolled. Otherwise, the applicant will not be eligible for a refund of tuition payments. In verified emergencies, the school will allow the applicant to transfer to the next class. Please initial
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No Call No Show - Applicants who are a no call no show on the first day of class or other scheduled days of class will be dropped from the class. No refunds will be issued and the applicant will be responsible for any unpaid balances. Please initial
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Tuition Payment- If tuition payments are not received on or before the due date, the student will be dropped from the class. If a student is dropped for nonpayment, no refunds will be issued and the student is responsible for any unpaid balances. Please initial
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Is someone else using their credit card to register the student for class? If so, please provide credit card owners First and Last Name, Address and Phone Number. If not, please write N/A
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In an effort to protect against fraud, If cardholder is not the student, please upload cardholders drivers license.
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Please read and sign- By signing this contract you agree that all information provided is true, accurate, and complete. You agree to the payment terms of this contract. You agree if you are dropped from this class for not making your required payments, on the due date, you will not be eligible for a refund of any money paid towards the tuition. You will also be responsible for the remaining balance. If you choose to withdraw, after the start date, you will still be responsible for any remaining payments owed. If you do not pay the remaining balance within 30 days, your account will be forwarded to collections. You agree to all terms of this Agreement, including, but not limited to, the Electronic Payment Authorization, Recurring charges authorization(if you have elected to pay by recurring electronic funds transfers), when you sign this Agreement. By signing this agreement, you acknowledge you are the cardholder or have permission to use the credit/debit card used at time of registration PLEASE SIGN YOUR FULL NAME
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Select tuition option and past due payment options. Please be sure to include any past due payments. If you only submit the deposit, your registration will not be processed until all payments due are received. We will not hold your registration. PLEASE SCROLL THROUGH THE COURSES BELOW TO FIND THE COURSE YOUR DESIRED COURSE
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You must make all payments on time to avoid being dropped from the class. If you do not make your payment by the due date , you will be dropped from the class. No exceptions. We will not grant extensions.
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