Program Dates

June 20 - July 16, 2027

Asynchronous Online Learning	June 20 - July 11, 2027
In-Person Lab Day (UNWSP)	July 12, 2027
Clinical Days (Presbyterian Homes)	July 13 - 14, 2027
Celebration Ceremony (UNWSP)	July 16, 2027 at 1:00 pm

Today's Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Full Name:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail:
example@example.com
Phone:
Documentation Required to Complete Application:

1. Proof of English Proficiency

2. DHS Background Check

3. Tuberculosis Screening

4. Physical Requirements
1. Proof of English Proficiency - Upload one document from the following options (high school transcript or TABE or ACCUPLACER):

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2. Background Study Information and Requirements:
Upload Background Study Clearance Letter (Study must be completed no more than one year prior to starting Nurse Aide course):

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3. Vaccination Requirements:
Upload documentation of up-to-date tuberculosis screening result:

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4. Additional Requirements for Nurse Aide Roles:
Do you meet all listed applicant requirements?
Please select your uniform size (adult sizing):

CNA Registration Fee

$800.00

Total

Nurse Aide Application - June 2027