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CERTIFIED MEDICATION AIDE COURSE
ENROLLMENT FORM
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Email
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I AM A
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CERTIFIED HOME HEALTH AIDE? (CHHA)
CERTIFIED NURSE AIDE (CNA)?
CERTIFIED PERSONAL CARE ASSISTANT? (PCA)
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WHAT IS YOUR NAME OR LICENSE NUMBER? YOU WILL NEED THIS TO ENROLL IN OUR CLASS.
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EVENING CLASS SCHEDULE
July 10,12,14, 17, 19, 21, 24, 26: (3:30-9:30)
Some days we finish earlier.
Med Pass date: July 31, Aug 1, Aug 2
TUITION: $800
PAY ENROLLMENT FEE $200 TO SECURE YOUR SPOT
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PAY REGISTRATION TO SECURE YOUR SPOT
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ZELLE: 9179574237
CASHAPP $ABCHST
VENMO @abchs
CALL TO MAKE YOUR PAYMENT
WEBSITE
www.aboveandbeyondcarehs.com
Paypal: @goabovegobeyond
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WHAT IS THE BEST NUMBER TO REACH YOU?
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ARE YOU ABLE TO READ AND WRITE?
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First Name
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Last Name
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Phone number
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E-mail Address
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