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  • Participant Contract

    CERTIFIED NURSING ASSITANT PROGRAM
  • This document is to serve as a contract between, *   *   and Innovative Long Term Care Solutions.

    Both parties enter and agree to the following: 

  • Innovative Long Term Care Solutions Will:

    1. Provide case management through the schooling and certification process. We will contact you once per week and update you on the percentage of class completion. We will also be available to you Mon-Friday from 9 am to 5 pm to answer any questions or to advocate for you with the school or employer.
    2. Register you for classes at our partner school. Innovative Long Term Care Solutions will pay the registration fee, education fee, and program fee for you at 100% of the cost ($1,240.16) so that you may begin your education right away.
    3. Place you in full-time employment at one of its partner facilities upon successful completion of the CNA course and licensing through DHHS. 
    4. "Place the participant in full-time employment at one of its partner facilities. This participant will be placed at our partner facility and the participant agrees to work the shift outlined here , upon successful completion of the course and licensing through DHHS.
  • Participant Named Above Agrees To:

    1. Complete a minimum of 25% of the online class every week to be able to complete the online portion of the course in the allotted 1-month (4 weeks) time. A two-week extension to the 1- month online completion period can be granted if special circumstances present themselves and the Participant talks with staff at Innovative Long Term Care Solutions. The additional 2 weeks will only be considered if the participant has completed 50 percent or more of the course at the time of the additional 2-week request.
    2. To contact us immediately upon completion of the online course so that we can authorize you to register for the 4-day- in-person- class at the school and take the DHHS licensing exam.
    3. To take the earliest class available.
    4. To communicate with my participant case manager a minimum of once a week when I am contacted.
    5. To work at the assigned Innovative Long Term Care Solutions partner facility and work the below-outlined shift:

    for 6 months at a full-time capacity upon completion of the course and licensing through the State DHHS office.

  • By signing below, I agree and understand that: 
    I am applying for a participant loan in the amount of $1,241.00 US Dollars. A breakdown of the fees are listed below. 

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    1. If I do not complete the course in the allotted (4 weeks, 6 weeks max if approved by case manager) time, I am responsible for repaying the total amount of the participant loan within 30 days.
    2. That if do not communicate with my case manager or am in active with the school work online for more than a week that staff will attempt to contact me and if I do not respond or remain inactive on the school work that my account will be terminated for lack of participation in the program and I will be responsible for paying back the full amount of the loan within 30 days.
    3. I get 3 chances to pass the State licensing exam and if I am unable to pass it I must repay the loan.
    4. If I complete the course and do not present myself to work for the above outlined or work the above-outlined shift Innovative Long Term Care Solutions facility, I am responsible for repaying the full amount of the participant loan within 30 days.
    5. If I do present myself at the agreed upon Innovative Long Term Care Solutions facility, but do not fulfill my 6-month agreed-upon commitment, then I am responsible for repaying the full amount of the participant loan within 30 days.
    6. If I am terminated from my employment due to noncompliance with the facility policy or for participation in the illegal use of illegal substances, I am responsible for repaying the full amount of the participant loan within 30 days.
    7. To receive all correspondence and invoices electronically to the email that I have provided. I understand and agree that nothing will be mailed to me.
    8. That I will have 30 days to repay the full participant loan amount and that if not paid
      1. It will be sent to collections and that will negatively impact my credit score.
      2. That a 10% late fee of the full amount will be assessed on day 35.
      3. To pay any city and state taxes on the amount borrowed.
    9. This is a legally binding agreement, and Innovative Long Term Care Solutions will pursue collections. 
  • Background

    I understand that the licensing department will not issue a certified nursing aid license to anyone with a FELONY, and some misdemeanor charges on their record regardless of how much time has passed since the conviction. I acknowledge and agree that if I do not disclose a charge at this time, that I will be responsible for paying back the loan if it is shown on my background check that I have an existing Felony or misdemeanor charge/s that I did not disclose.
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  • Bank Routing # * . Bank Account # * . for direct deposits.

  • Quality Career Pathways Release Authorization Form

  • I, hereby authorize Quality Career Pathways to release my Certificate of Completion and/or verification to the following individual(s) or organization(s): Innovative Long Term Care Solutions

    I understand that by signing this release authorization, I am granting permission for Quality Career Pathways to disclose my Certificate of Completion and/or verification to the designated recipient(s) listed above. I also acknowledge that Quality Career Pathways may rely on this release authorization to disclose the aforementioned information without any further consent from me.

    I further affirm that I have completed all necessary requirements and qualifications to receive the Certificate of Completion and/or verification from Quality Career Pathways.

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