Student Application

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Accepted applicants will receive official enrollment and payment instructions via email.

Employer Name

Employer Contact Email

example@example.com

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Government-issued photo ID (Driver’s license, state ID, passport, or military ID)

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High School diploma or GED or any Higher Education Diploma (a transcript is also acceptable

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Updated resume (include work history + any healthcare experience, if applicable

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CPR card (Not BLS) Required before clinical placement; may be submitted later if not available at time of application review.

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Signed NIHT Enrollment Agreement (Will be emailed to you after application review)

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Essay (Why Do I Want to Become a Sleep Tech?) Submit at least a paragraph

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Enrollment Agreement Acknowledgment

I understand that the Sleep Technology Essentials – 80-Hour Certificate Program includes online coursework, live instruction, and required clinical training at an accredited sleep center.I agree to complete all coursework, attend required sessions, and submit all assignments by stated deadlines.I understand that I must earn a minimum final grade of 75% to successfully complete the program.I understand that clinical hours are a required component of the program.I understand that clinical hours may be completed at a local accredited sleep lab only if a site is available and agrees to host me, and that requirements may vary by state and facility.I understand that NIHT does not guarantee external clinical placement and is not responsible for requirements imposed by third-party clinical sites.I understand that clinical availability is based on scheduling, site capacity, and the availability of accredited labs in my area.☐ I understand that some clinical sites may require additional documentation such as background checks, drug screening, immunizations, or health clearances, and that I am responsible for meeting those requirements if applicable.I understand that if I elect to complete my clinical hours with NIHT at its affiliated sleep lab in Columbus, Georgia, I must hold a valid CPR certification, which must be submitted no later than one (1) week prior to the start of clinical hours.I understand that I must provide a valid photo ID and all required documentation before I can be scheduled for clinical training.I understand that eligibility for CPSGT or RPSGT certification is determined solely by the BRPT, and meeting those criteria is my responsibility.I understand that tuition must be paid in full before I am eligible to take the final exam or attend clinical training.I understand that failure to comply with NIHT academic, attendance, or professional conduct policies may result in dismissal from the program.I have reviewed and agree to the tuition rates, payment plan options, and the NIHT Refund Policy.I understand that completion of this program does not guarantee employment or job placement.I understand that I am responsible for having reliable internet access and a device capable of accessing course content and completing assignments.I certify that all information submitted in this application is true and accurate. Licensing and practice requirements for polysomnographic technologists vary by state, territory, and country. Completion of this program is designed to prepare students for national credentialing pathways such as CPSGT and RPSGT; however, it does not guarantee eligibility for licensure, certification, or employment in any specific jurisdiction.It is the responsibility of each applicant to verify requirements with their state licensing board or applicable regulatory authority prior to enrollment.

By signing below, I confirm that I have read, understand, and agree to all Enrollment Agreement Acknowledgment items above.

Student Signature*

(Type your initials to confirm acknowledgment)*

Date Signed*

Date

Student Application

Emergency Contact Information

Program Enrollment

Clinical Placement Preferences

Payment Options

Required Documents & Agreements