Nurse Assistant (Student Application Check list)
Don't forget to take this exam after you register to our Tax Tips for Nurses course. Allow us 24 hours to release the results.
* Required
Date
*
MM
/
DD
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YYYY
Student Name (First, Middle Initial, Last)
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Your answer
Students must have all of the following items present in their student file to be eligible to participate in the program.
*
YAYA Medical Training Institute Student Application
Cardiopulmonary Resuscitation (CPR) – Basic Life Support for Health Care Providers Card valid through the duration of the program (will be offered at SASA free of charge to enrolled students). Please let us know if you would like us to enroll you for a CPR class at no extra cost if you do not have a current CPR card.
Required
Immunization proof or titer results confirming:
*
Tetanus (within past 10 years), Recommended
Recent physical Exam within the last 12 months, REQUIRED
MMR (Measles, Mumps, Rubella), Recommended
Proof of Absence of Tuberculosis (negative skin test or negative chest x-ray within 12 months of start of program), REQUIRED
Varicella (Chicken pox) (titer or proof of vaccination), Recommended
Live Scan/Criminal Background Clearance, REQUIRED
Required
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