Home Care Licensure Training

Applicant Name

****ONE CERTIFICATE PER AGENCY.IF A SEPERATE CERTIFICATE IS REQUESTED STUDENT WILL HAVE TO SUBMIT ANOTHER PAYMENT OF $500.THANK YOU****

Agency or School Owner (REQUIRED ATTENDANCE)

First NameLast Name

Agency or School Director (Must Meet Minimum Qualifications) *If you do not know whom that will be. Leave blank or put your name.

First NameLast Name

Please add the First and Last names of anyone else besides yourself who will be attending this course. Add N/A if you will be the only one. (Be advised this person MUST also be on CAMERA and a Partnership under Secretary of State if they are being added to your Certificate)*

Franchise Company*

YesNo

Email*

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Desired Class Date*

****Please see website for available class dates ****(FRIDAYS ONLY)*NO CLASS LAST FRIDAY EVERY MONTH*

We require a deposit of 50% in order to secure your spot in class. Would you prefer to pay via: OTHER payment options are listed at the bottom of this Application

OTHER payment options are listed at the bottom of this Application

Please include phone number where you would like us to send your payment link:

Please select a service or product. Read below carefully When you purchase classes, policies, forms and manuals ALL SALES ARE FINAL NONREFUNDABLE NO EXCEPTIONS. (Class is ONLY refundable if you double pay). If you alter or change any of the policies below its not Classic Training's fault if they're not approved. We stand behind our original policies. DHHS is not responsible for any of our sales or products.

Home Care Provider Training Course: $500

**Course Price Covers up to 2 People.3 or More costs $100 Per Person ****SALES ARE FINAL AND NOREFUNDABLE***

$500.00 Quantity

HR & Client Forms $400

$400.00 Quantity

Initial Licensure Policies

$898.00 Quantity

Medicaid Training Manual $300

$300.00 Quantity

Nursing Skilled Services Policies

$1,448.00 Quantity

Consulting Services: $200/hr

$200.00 Quantity

Marketing (Website/Logo Design & Branding) Call for Quote

$800.00 Quantity

Bundle & Save (Licensure Class & In-Home Aide Procedures)

$1,250.00 Quantity

Total Start Up Package (See Website for Details) $2800

$2,800.00 Quantity

Employee Handbook

$250.00 Quantity

Family Home Polices

$898.00 Quantity

Consulting opening your own CNA School

$3,000.00 Quantity

Consulting opening your own Proprietary School

$5,000.00 Quantity

Franchise Companies Prices for Polices start at $2000-$3500 call for special bundles policy prices.

$ Free Quantity

Respiratory Therapy

$898.00 Quantity

Physical Therapy

$898.00 Quantity

Occupational Therapy

$898.00 Quantity

Speech Therapy

$898.00 Quantity

Medical Social Work

$898.00 Quantity

Durable Medical Equipment

$898.00 Quantity

Nursing Pool

$1,448.00 Quantity

Nursing Services

$1,448.00 Quantity

Infusion Nursing

$1,448.00 Quantity

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Print NameTitle

I understand that this class is offered for educational purposes only and does not guarantee that the attendee will be granted a license by NC DHSR. Neither Classic Services, nor any of its officers, directors, employees, or affiliates shall be liable for any direct, indirect, special, consequential, punitive, exemplary and/or incidental damages of any kind whatsoever (including but not limited to: loss of profits or attorney's fees) in any way due to, resulting from, or arising in connection with the Registrants acquisition or use of the Materials, or from the Registrants reliance on any information provided. This limitation applies to all causes of action in the aggregate including but not limited to: breach of contract, breach of warranty, negligence, strict liability, misrepresentation, and any other tort. Refunds are not offered; you may however reschedule to a different training date. ALL SALES ARE FINAL AND NONREFUNDABLE*

Classic Home Care Licensure Training Course

Payment Methods