Carolinas College of Health Sciences Nurse Aide I Program Where: Carolinas College of Health Sciences, Rankin Education Center, CMC Campus (1200 Blythe Blvd., Charlotte 28203) What is Nurse Aide I: The Nurse Aide I Program is a 130-hour non-credit course providing the resources and enhanced learning opportunities for students to develop appropriate, fundamental patient care skills in a supervised and controlled setting. The CCHS Nurse Aide I Program is approved by the North Carolina Division of Health Service Regulation (DHSR) and meets Federal Guidelines. Features of this program include: Taught by DHSR - approved Registered Nurse educators Prepares student for DHSR approved Nurse Aide I competency evaluation Provides classroom, laboratory and clinical experiences consistent with the standards of practice of the DHSR and provides the knowledge and skills required to practice CPR certification (American Heart Association) Mail complete application packet to: Continuing Education Department Carolinas College of Health Sciences PO Box 32861 Charlotte, NC 28232 Two easy steps to apply: 1. Submit a complete application packet by: Completing Nurse Aide I Program Application Providing a copy of your Social Security Card Completing a consent form (this form authorized a criminal background check) * Only complete applications with the above information and tuition will be processed. 2. Pay Tuition: $595.00 (tuition includes Basic Life Support-(CPR), ID Badge, study packet, and clearance for clinical eligibility) **There is no financial aid available for the Nurse Aide program** Additional Costs There may be an additional charge for the background check if the cost is excessive. Your textbook may be purchased at http://bookstore.mbsdirect.net/carolinascollege.htm Candidates seeking NA I certification in NC will need to schedule a competency exam with Pearson Vue after course completion. The fee for testing is $101.00. Testing information can be found at www.pearsonvue.com OTHER REQUIREMENTS: Elite Uniforms and Shoes is the college s official uniform vendor. They are located on Kings Drive, just a short drive from the college. You must bring your conditional acceptance letter or Student ID badge in order to purchase your uniforms. Elite Uniforms offers a 20%discount on your total purchase. Applicants will need to schedule a drug screen, tuberculin skin test and Hepatitis B immunization with Employee Health (free of charge). An applicant s background check cleared by Carolinas Healthcare System (CHS) for participation in clinical education. Applicants who are former employees of CHS must meet the clinical eligibility guidelines. Clinical experiences will be at Huntersville Oaks or Sardis Oaks. Transportation is not provided.
INTERNATIONAL APPLICANTS Due to limited resources in supporting international students and a focus on providing healthcare practitioners for the Charlotte metropolitan area, the College will not authorize requests for temporary or student visas. Proof of legal residency may be required. English language proficiency is required that meets or exceeds the college s requirements. If English is your second language, a TOEFL score of at least 220 (computer version) or 83 (ibt: Internet based) is required. 2013 CALENDAR Classes will be filled on a first come, first served basis DAYTIME CLASS SCHEDULE EVENING CLASS SCHEDULE (Monday Thursday) (Tuesday and Thursdays) February 25 - April 25 January 3 - April 25 August 26 - October 17 April 30 - August 15 October 21 - December 12 August 20 - December 15 Class/Lab: 4:45 pm - 9:00 pm Clinical: 4:45pm - 9:45pm WEDNESDAY ONLY SCHEDULE WEEKEND SCHEDULE (Wednesday s) (Saturday and Sunday) January 2 - April 24 April 26 - August 16 March 14 - May 3 August 3 - September 29 August 21 - December 11 Class/Lab: 8:30am - 4:30pm ACCELERATED SCHEDULE May 6 - May 28 August 5 - August 27
Carolinas College of Health Sciences Department of Continuing Education Nurse Aide I Program Application Please print Office Use Only: Date / / Cash MO Ck# Visa/ MC Exp / Test 1: Test 2: Students may test twice per calendar year. Full Name: Last First Middle Maiden (if applicable) Social Security Number: Home Phone: Alternate/Cell Phone: Email Address: (Email is mandatory for confirmation) Mailing Address: (Street, Route, Box #) City County State Zip Available Sections: Daytime Classes: Feb 25 - Apr 25 Aug 26 - Oct 17 Oct 21 - Dec 12 Wednesday Classes: Jan 2 - Apr 24 Mar 14 - May 3 Aug 21 - Dec 11 Evening Classes: Jan 3 - Apr 25 Apr 30 - Aug 15 Aug 20 - Dec 15 Weekend Classes: Apr 26 - Aug 16 Aug 3 - Sep 29 Accelerated Classes: May 6- May 28 Aug 5- Aug 27 Voluntary demographic data for reporting purposes only: Ethnicity: Asian Native Hawaiian or Pacific Islander White American Indian/Alaskan Native Hispanic Unknown Black or African American Two or more races Other Gender: Male Female Birth date: Required Information: I have attended or applied to Carolinas College of Health Sciences in the past. Yes No Program Year: Citizenship International students who do not have permanent resident status will not be considered for admission U. S. Citizen Permanent Resident Alien / Citizenship Country Receipt # Date of Issue English is my native (first) language. Yes No* *You must submit a TOEFL score 153 (computerized version) or 477 (written version) or you may take an Academic Assessment at our College and score a 14 or higher (call 704-355-2663 for details). Community Standards:
In an effort to maintain a safe learning community, we ask the following questions of all applicants. We cannot accept your application unless you answer these questions. A yes answer to one or more of the following questions does not necessarily preclude your being admitted. However, your failure to provide complete, accurate, and truthful information will be grounds to deny or withdraw your admission, or to dismiss you after enrollment. Yes No We are committed to an alcohol-free, drug-free, and tobacco-free workplace. Students found in violation of this standard may face disciplinary action including dismissal. Students must submit a negative drug screen prior to enrollment and are subject to random drug screens throughout enrollment. Is there any reason why you would not be able to produce a negative drug screen prior to enrollment? Yes No Applicants are required to submit a consent form provided by the College upon acceptance and must be cleared by Carolinas HealthCare System for participation in clinical education. Have you ever been convicted of any criminal violation of law, or are you now subject to a pending investigation or charges of violation of criminal law? Examples may include, but should not be limited to: driving while impaired, worthless checks, assault, driving while license is suspended, disorderly conduct, credit card fraud, embezzlement etc... You must notify the Admissions Coordinator or Dean of Student Services of any criminal charge or conviction that occurs at any time after you submit this application. Yes No Applicants who are known to be in default on a student loan will not be admitted to a health care program. Are you currently in default on any type of student loan? Yes No Applicants must be eligible for clinical access at a Carolinas HealthCare System facility. Is there any reason why you would not be eligible for clinical access? Read, Sign and Date the following statement I certify that the information provided on this application is accurate, complete and truthful. I understand that any failure to provide accurate, complete, and truthful information on this application will be grounds to deny or withdraw my admission, or dismiss me after enrollment. I have read the essential functions of the program to which I am applying and can perform the functions with reasonable accommodations, if warranted. I further understand that I am required to notify the admissions office if I change my email address or other contact information. *****We cannot accept your application without your signature Signature of Applicant: Date Parent or Guardian (If applicant is under 18): Date 24 hour notice of cancellation is required for a refund Once class begins, refunds do not include the cost of study packet or background check. Carolinas College of Heath Sciences is accredited by the Commission on colleges of the Southern Association of Colleges and Schools (SACS) to award the Associate of Applied Science degree. Contact the Commission on Colleges at 1866 Southern Lane, Decatur, GA 30033-4097 or call 404-679-4500 for questions about the accreditation of Carolinas College of Heath Sciences.
Payment Options: TO RESERVE A SPACE the application packet must be complete: application, tuition must be paid in full (see brochure), a copy of your social security care, and signed consent form. Cash Check enclosed (specify the exact amount of the check) $ Charge to following charge card: Master Card Visa American Express Discover Credit Card# expiration date: Printed name of person authorizing credit card charge: Telephone number, if not applicant Signature Authorizing Credit Card Charge: Interdepartmental Charge: (Carolinas Healthcare Only) Manager s Name Manger s Signature Bus. Unit # Dept # Account # Work Location/Department (CHS only)