Neway Directions C.N.A. Application

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NOTES:

Saving Your Application

If at any time you would like to save your application and come back later, please click the "save" icon at the bottom of the form next to the page number indicator. Once you create a login, you will be sent an email with a link to return to your previous location within the application.

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Dear Nursing Assistant Student Applicant,

Thank you for your interest in Neway Directions Nursing Assistant class!

Upcoming classes can be found here.

Tuition Policy:

Before a spot can be confirmed for you, you must make a nonrefundable down payment of $100.00, which goes toward your tuition – total tuition of $1,200.00 (additional fees associated if using a credit card) including a $100.00 down payment. This $100.00 is an assurance that you are serious about taking this training. Due to the small class size and condensed training, $550.00 (nonrefundable unless another student fills the spot) is due two weeks before the training. The remainder of $550.00 is due on or before the start of class. We accept checks and credit cards (a processing charge will be added to all credit card payments).

The State Board Competency Exam is Knowledge and Demonstration/Skills $142.75 or Oral and Demonstration/Skills $147.75 to D&SDT HeadMaster LLP– this is not part of Neway Directions tuition. You may pay for this exam using checks or credit cards (a processing charge will be added to all credit card payments).

Neway Directions, Inc. reserves the right to cancel class due to low enrollment at any time.

Below are the application materials. If you have any questions please feel free to contact Jenna Ruehlow-Haney at 608-221-1920 or jenna@newaydirections.com. Our fax number is 608-221-1895.

Sincerely,

Jenna Ruehlow-Haney
President
Neway Directions
6400 Gisholt Dr., #102
Madison, WI 53713
Phone: 608-221-1920
Email: jenna@newaydirections.com
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The following needs to be completed before a student is accepted into the Nursing Assistant Class:

Abilities For a Future CNA & Equal Opportunity Statement - SIGNED

Neway Directions CNA Application & Tuition Agreement - FILLED OUT & SIGNED

State Required Background Disclosure - FILLED OUT & UPLOADED

Rules of Neway Directions Nurse Aide Training - SIGNED

2-Step TB Test Form - (2 separate skin tests (4 trips to the clinic) at least a week apart, but within 21 days of each other). It is the student’s responsibility to have this done and documentation turned in to Neway Directions. More information is in Step 5. - UPLOADED

COVID Vaccine Certificate - UPLOADED

Proof of Flu Vaccination (September - April) - UPLOADED

Reminder: Student needs to have their own transportation to & from classroom and clinical sites.
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NEWAY DIRECTIONS - NURSING ASSISTANT TRAINING * This field is required.Admission Qualifications to the Nursing Assistant Program Gross Motor Skills - Move within confined spaces, maintain balance in multiple positions, reach below the waist, reach out front Smell - Detect body and environmental odors Fine Motor Skills - Grasp, pinch, twist, squeeze, hand coordination Environment - Tolerate exposure to allergens, tolerate heat and humidity Physical Endurance - Maintain physical activity for the length of the clinical shift Reading - Read and understand written documents, read digital displays Communication - Interacts well with others, speaks and writes English, listens and understands spoken and written word Physical Strength - Push, pull, and lift 50 pounds, support 50 pounds of weight, and use upper/lower body strength Tactile - Feel vibrations, detect temperature, feel differences in surface characteristics Hearing - Hear normal level speaking sounds, hear faint voices/whisper Emotional Stability - Hear normal level speaking sounds, hear faint voices/whisper Mobility - Twist/bend/stoop/squat, move quickly, climb stairs, walk Math - Add/subtract/multiply/divide, measure, tell time/count Visual - See object up to 20 feet away, use depth perception, use peripheral vision, distinguish color and color intensity Problem-Solving - Know the difference between serious and minor problems, apply knowledge and skill, organize and use information Interpersonal Skills - Establish appropriate relationships with clients, families, and co-workers, respect cultural differences, handle interpersonal conflict Note: Students with a documented disability, who require an accommodation to meet the standards listed above, must submit a reasonable request with a documented disability prior to the start of the program. The request must be made and accommodations in place prior to starting the Nursing Assistant Program. All students, including students with disability, must meet the standards listed above to be accepted in the Nursing Assistant Program. Equal Opportunity Statement - Neway Directions Neway Directions believes in equal opportunity. Our organization’s success depends on the effective utilization of qualified people, and Neway does not discriminate in opportunities or practice on the basis of race, color, religion, age, sex, national origin, ancestry, sexual orientation, marital status, veteran status, or any other basis prohibited by local, state, or federal law. Neway Directions is committed to providing an environment in which students and employees are treated with courtesy, respect, and dignity. As part of the commitment, we will not tolerate any form of harassment, verbal or physical, with regard to any individual’s race, color, religion, age, sex, national origin, disability, ancestry, sexual orientation, marital status, veteran status, or any other basis prohibited by local, state, or federal law. All nursing assistant students must qualify for the program, according to the application process. For any student with a learning disability, every effort will be made to accommodate that student. A policy of available resources/accommodations will be provided to that student. To the best of my knowledge, I can perform all the above Admission Qualifications to the Nursing Assistant Program at Neway Directions and understand the Equal Opportunity Statement.
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Date* This field is required.Please click next. This is for administration purposes only.
Date
Year
Month
Day
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Name* This field is required.
First Name
Last Name
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Class Start Date* This field is required.
Date
Year
Month
Day
8
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
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
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Phone Number* This field is required.
Please enter a valid phone number.
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Email* This field is required.E-mail address where confirmation and additional information should be sent:
example@example.com
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Class is paid by:* This field is required.
Private (this includes Parent/Spouse/Friend)
Agency/Facility
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Agency Name* This field is required.
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Agency Case Manager Email & Phone Number* This field is required.
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In Case of Emergency - Name* This field is required.
First Name
Last Name
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In Case of Emergency - Phone Number* This field is required.
Please enter a valid phone number.
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Name of High School* This field is required.
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Graduation Type* This field is required.
High School Diploma
GED
I have not graduated yet.
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High School Graduation/GED Year* This field is required.
Please Select
Please Select
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
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Have you ever participated in a C.N.A. class?* This field is required.
YESNO
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How did you find out about Training for C.N.A. at Neway Directions?* This field is required.Please select all that apply.
Agency
Friend/Parent/Spouse
Social Media
Google/Bing/Yahoo
Other
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Why did you want to become a C.N.A?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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How old are you?
23
What is your gender?
24
What are your pronouns?
25
How do you identify in terms of race or ethnicity?
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Tuition Policy* This field is required.Before a spot can be confirmed for you, you must make a nonrefundable down payment of $100.00, which goes toward your tuition – total tuition of $1,200.00 (additional fees associated if using a credit card) including a $100.00 down payment. This $100.00 is an assurance that you are serious about taking this training. Due to the small class size and condensed training, $550.00 (nonrefundable unless another student fills the spot) is due two weeks before the training. The remainder of $550.00 is due on or before the start of class. We accept checks and credit cards (a processing charge will be added to all credit card payments). The State Board Competency Exam is Knowledge and Demonstration/Skills $142.75 or Oral and Demonstration/Skills $147.75 to D&SDT HeadMaster LLP– this is not part of Neway Directions tuition. You may pay for this exam using checks or credit cards (a processing charge will be added to all credit card payments). Neway Directions, Inc. reserves the right to cancel class due to low enrollment at any time.
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Date* This field is required.Please click next. This is for administration purposes only.
Date
Year
Month
Day
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State Required Background Disclosure Form

Click here to download the State Require Background Disclosure Form.
Then click "NEXT" to upload the completed form.

1. Fill in the information in your browser on a computer, not a phone.
(Please use the Chrome Browser. You can download Chome here if needed.)

2. DO NOT CLICK SAVE! Click on the printer icon or the word "Print" when you are finished filling out the PDF.

3. Choose "Save as PDF" in the destination dropdown and save the document to your computer.

4. Click "NEXT" in this application to upload the completed form.
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File Upload: State Required Background Disclosure Form* This field is required.
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Max. file size: 10.6MB
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Rules of Neway Directions Nurse Aide Training* This field is required.Classroom Time 1. Full attendance is expected for the classroom/lab. No more than four hours of excused absences will be allowed. An allowed absence is one in which the student calls the instructor or the program director, explaining the reason for tardiness or absence. The instructor will give the student a written homework assignment (a one-page paper on the missed topic – how that topic is important to the role of a C.N.A.) to make up for lost classroom time. A “no call, no show” can be a reason for termination from the class. 2. Students should be at class on time. Tardiness counts toward a 4-hour absence. 3. Casual, comfortable dress is encouraged. 4. Eating and drinking are allowed during classroom time. 5. Respect will be shown to all instructors & to each other. No side conversations or negative body language will be tolerated. (one verbal warning, one written warning, then terminated from the program). The class will include time for interactive discussions. 6. There will be one 30-minute meal break and other short breaks during the class day. 7. No cell phone use during class time—please turn them off. No texting or use of a camera phone (one verbal warning, one written warning, then terminated from the program). 8. There will be a written quiz every day (an oral exam can be requested). A grade of 70% is considered passing. If a student does not pass a quiz, it will be repeated at the instructor’s convenience. 9. Students are responsible for their own textbooks & any handouts received. 10. Class should be a safe place for students. Any verbal or physical violence of any kind will not be tolerated and can mean termination for the students involved. 11. Termination or dropping out of class will not result in any refund of class fees. Clinical Time 1. A visit to your clinical site (during classroom time) will be done ahead, so students can be aware of how to get to the site, where to park, what door to go into, and where to meet with other students & instructor. 2. Dress code for clinical time is black scrub pants, purple or teal (solid color) scrub top, a watch with a second hand, and a name pin (provided by Neway Directions). Females, be sure to wear a T-shirt under a loose scrub top, if necessary, to prevent cleavage from showing. Males must wear an undershirt beneath a scrub top. Dark shoes or tennis shoes (not cloth) with dark socks should be worn. 3. Students will need a small bottle of hand sanitizer. 4. Jewelry should be kept to a minimum. No hoop earrings. Facial jewelry is usually not permitted in long-term care facilities. Ask your instructor about this issue. 5. Fingernails should be short & well-filed. No bright-colored polish. Absolutely no artificial nails. 6. Hair should be off the shoulders & away from the face. No hats or scarves are allowed, unless for religious reasons. 7. No cell phones allowed on person at the clinical site – Immediate termination from the program. 8. Students are guests in the facility. Please follow all facility policies, especially regarding smoking & eating. 9. Any student belongings are not the responsibility of the facility. 10. Students should arrive on time and be ready to work (uniform on, hand sanitizer in pocket, name badge on, pen/care plan available). 11. There will be NO excused time allowed for the clinical experience. It is extremely difficult to make up for any time lost during this training. Potential instructor/student face-to-face make-up time will be considered on a case-by-case basis – students will pay the clinical instructor. 12. The instructor has the capability at any time during clinical training to terminate a student from the program, if it is determined that the student knowingly did any of the following: A. placed a resident at risk for safety B. disrespected a resident or staff C. disregarded a directive D. left the unit without reporting to the instructor - This could include a verbal or written warning, or immediate termination from the program depending on the severity of the offense. I understand the above rules and will follow them.
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Date* This field is required.Please click next. This is for administration purposes only.
Date
Year
Month
Day
32
2-Step TB Test Form

Click here to download the 2-Step TB Test Form. It is also acceptable to submit a form that your doctor gave you instead. Click "NEXT" to upload the completed form.
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File Upload: 2-Step TB Test FormNote: You can come back to this question later. If at any time you would like to save your application and come back later, please click the "save" icon at the bottom of the form next to the page number indicator. Once you create a login, you will be sent an email with a link to return to your previous location within the application.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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File Upload: Photo of COVID Vaccine CertificateNote: You can come back to this question later. If at any time you would like to save your application and come back later, please click the "save" icon at the bottom of the form next to the page number indicator. Once you create a login, you will be sent an email with a link to return to your previous location within the application.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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File Upload: Proof of Flu Vaccination (Required for Classes September - April)Note: You can come back to this question later. If at any time you would like to save your application and come back later, please click the "save" icon at the bottom of the form next to the page number indicator. Once you create a login, you will be sent an email with a link to return to your previous location within the application.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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