2019-20 CERTIFIED NURSE ASSISTANT PROGRAM
Thank you for your interest in our Certified Nurse Assistant Program.  To complete this CNA program successfully, you must attend classes for 9 weeks at National City Adult School (Theory) and Fredericka Manor (Clinical).  Our evening classes are Monday thru Friday, 4:00 pm to 8:00 pm.
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Check the CNA schedule below *
Required
LAST NAME *
FIRST NAME *
E-MAIL *
(AREA) PHONE NUMBER *
ADDRESS (Street name and number) *
CITY *
ZIP CODE *
DATE OF BIRTH *
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STUDENT ID
DATE OF COMPLETED HEALTHCARE ESSENTIALS *
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WHERE DID YOU COMPLETED HEALTHCARE ESSENTIALS *
HAVE YOU EVER BEEN CONVICTED OF A CRIME?  IF YOUR ANSWER IS YES, Please be advised that the California Department of Public Health (CDPH) will not allow CNA certification with convictions.  For more information contact:  Department of Health Services, Division of Licensing and Certification, Nurse Assistant Certification Section.  (916) 327-2445 *
DO YOU HAVE ANY HEALTH PROBLEMS THAT REQUIRE MEDICATION AND/OR LIMIT YOUR PHYSICAL ACTIVITY? IF YES, PLEASE EXPLAIN.
ARE YOU BEING SPONSORED BY AN AGENCY? (If YES, choose agency) *
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