• Facility Invoice for Registration

    Fill out the following form if you would like to be invoiced for any student(s) you are registering.
  • *Important note: If you are registering students for a CMA or CNA class in Kansas, please have specific course information ready. (i.e., Course Approval Number and/or Clinical Site Location) If you do not have a specific course DO NOT fill out the form below, please use this link: Click Here

  • Facility Information

  • Student Information

    You will need the student's name, email and phone number. Depending on the course, you may be required to submit the student's Social Security Number, license or certification number, and address
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  • Should be Empty: