Continuing Education Health Classes Registration |

CLASS LIST

DIALYSIS TECHNICIAN
MEDICATION AID
NURSE AIDE I
NURSE AIDE II
MEDICAL ASSISTANT
PHARMACY TECHNICIAN
PHLEBOTOMY
EMERGENCY MEDICAL TECHNICIAN
BLS FOR HEALTHCARE PROVIDERS (CPR)
HEALTHCARE BILLING & CODING
MEDICAL TERMINOLOGY

NURSE AIDE I

Nurse Aide I (DAY) - Nov. 9 - Jan. 28, 2021 / 8:00AM - 1:00PM / M - Th / $196.50
Nurse Aide I (NIGHT) -Jan. 4 - May 12, 2021 / 6:00PM - 10:00PM / M & W / $196.50

Boyette building

NURSE AIDE II

Nurse Aide II- Jan.5 - May 13, 2021 - 12:30PM - 4:30PM / T & Th / $196.50
Nurse Aide II (NIGHT)- Jan.5 - May 13, 2021 - 5:00PM - 9:00PM / T & Th / $196.50

Successful completion of Nurse Aide I is required to enroll in Nurse Aide II class

MEDICATION AID

Medication Aide for Skilled Living - TBA

MEDICATION TERMINOLOGY

Medical Terminology (ONLINE)- Nov. 11 - December 20, 2020 / Online / $180.00 + Book $100.31 / T. Gillespie

MEDICAL ASSISTANT

Medical Assistant II - Dec. 1 - April 6, 2021 / 6:00PM - 10:00PM / T, Th / $196.50 / T. Gillespie

Boyette Building

PHARMACY TECHNICIAN

Pharmacy Technician - Oct. 7 -April 28, 2021 / 1:00PM - 5:00PM / M &W / $196.50
Pharmacy Technician (ONLINE)-Nov. 1 -March 5, 2021 / 180.00 / K. Smith

Boyette building

DIALYSIS TECHNICIAN

Dialysis Technician (HYBRID) - Nov.4 - Jan. 21, 2021 / 5:00PM - 10:00PM / Th / 196.50 / D. Alexander

Herring Building, Room 107

HEALTHCARE BILLING & CODING

Healthcare Billing and Coding (ONLINE) - Nov. 11 - March 28, 2020 / $180.00 / W. Wheeler

PHLEBOTOMY

Phlebotomy (HYBRID) - Jan. 6 - May 12, 2021 / 8:00AM - 12:00PM / W / $196.50 / K. Grantham
Phlebotomy (HYBRID) - Jan. 6 - May 12, 2021 / 1:00PM - 5:00PM / W / $196.50 / K. Grantham
Phlebotomy (HYBRID) - Jan. 6 - May 12, 2021 / 6:00PM - 10:00PM / W / $196.50 / K. Grantham

Herring Building 107

Emergency Medical Technician (EMT)

TBA

BLS for HealthCare Providers (CPR)

TBA

STUDENT ID NUMBER OR LAST FOUR DIGITS OF SSN:*

FULL NAME:*

First Middle Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

EMAIL ADDRESS:*

HOME PHONE:*

BIRTH DATE: Month:*

ARE YOU HISPANIC/LATINO?

NO (NHS)
YES (HIS)

RACE (Check one)

White
Black/African American
Native American/Alaska Native
Asian
Hawaiian/Pacific Islander

SEX (Check one):

Male
Female

EMPLOYMENT STATUS (Check one):

Retired
Unemployed-Not Seeking
Unemployed-Seeking
Full time
Part-Time--Number of Hours Per Week

No. of hours

EDUCATION LEVEL (Check only one):

Completed High School
Adult High School Diploma
GED Diploma
One-Year Vocational Diploma
Associate Degree
Bachelor's Degree
Master's Degree
OR -Highest Grade Completed

Grade

CITIZENSHIP (Check one):

U.S Citizen
Permanent Resident Alien
Non-Immigrant Alien
Other

Name of Employer

STUDENT SIGNATURE:

Date

Certification of Accuracy*

By this check, I certify that the information I have given is true and complete to the best of my knowledge. I further understand that falsification or failure to supply the correct information may be considered grounds for rejection or dismissal. Further, I understand that by submitting this information via electronic transmission that I acknowledge the above statement of certification in lieu of a signature.
Please check:

Yes

Continuing Education Health Classes Registration

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