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TAVI Enrollment R2
TAVI CNA, School is located in Indianapolis, IN and operates as a registered CNA school under the authority of the Indiana Department of Health. This application intended to determine CNA eligibility .
* Indicates required question
Email
*
Your email
Name and Address *
*
Your answer
Contact Number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Race/Ethnicity
*
White
Black or African American
Hispanic/ Latino
Pacific Islander
Other:
Gender
*
Male
Female
Non-Binary
Other
Address City State and zip code
*
Your answer
Emergency Contact
*
Your answer
Payment
*
1 time Credit card payment
Payment plan
Have you ever been convicted of a felony in any of the United States?
*
Yes
No
Who referred you to TAVI?
Your answer
Have you previously attended CNA school
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Yes
No
How do you learn best
*
Audio
Visual
Hands on
Online or In Person Classroom
*
Online
In Person
A copy of your responses will be emailed to the address you provided.
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