CNA Admissions Application

In as little as one month, you can be prepared for an exciting and rewarding career in the healthcare field.

If you are caring, compassionate and want to make a difference in people’s lives, then maybe a career as a Nursing Assistant is for you. Call our office or write for more information or to schedule a campus tour.

The CNA class section of the course generally runs for two weeks with the hours varying dependent on day or evening schedule. All classes are held at the NW NAC Training, located in Vancouver, Washington.

Nursing Assistants work in many healthcare environments, including hospitals, skilled nursing facilities, memory care, assisted living, and long-term care facilities as well as in-home and hospice care. These are just a few of the growing list of CNA career opportunities for Certified Nursing Assistants. According to the U.S. Department of Labor’s Bureau of Labor Statistics, employment of Nursing Assistants is expected to grow faster than average for all occupations through 2025!

10% OFF Military Discount

on Tuition and Classes

Submit your CNA application online

Classes fill up fast, please call to ensure your spot is available

(360) 882-0101

Reimbursement Policy for Application Fee and Tuition

If the student changes his or her mind and no longer wishes to take the class, within five days of making his or her initial payment, and the student has not yet begun classes, all monies paid will be refunded. The school may retain an established registration fee equal to 10 percent of the total tuition cost, or $100, whichever is less, if the applicant cancels after the fifth business day after signing the contract or making an initial payment. A “registration fee” is any fee charged by a school to process student applications and establish a student record system.

Withdrawals and Refunds

The Certified Nursing Assistant program is comprised of two sections, the didactic (classroom and lab) section, and the clinical (on-site at health care facilities) section.

The school must refund all money paid if the applicant is not accepted. This includes instances where a starting class is canceled by the school.
If the student changes his or her mind and no longer wishes to take the class, within five days of making his or her initial payment, and the student has not yet begun classes, all monies paid will be refunded.

3. The school may retain an established registration fee equal to 10 percent of the total tuition cost, or $100, whichever is less, if the applicant cancels after the fifth business day after signing the contract or making an initial payment. A “registration fee” is any fee charged by a school to process student applications and establish a student record system.

Contact Information
Name*
First Middle Initial Last
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Home Phone
Mobile Phone*
Message Phone
Requirements for Admission to the Program
Initial each area below validating that you meet the requirements. Attach documentation verifying your fulfillment of the requirement. Submit all completed information with your application to the NWNACT.
Initial*
I certify that I am currently or will be 17.5 years of age or older prior to the start date of the program for which I am applying. I understand that I may be required to show proof of age prior to beginning the program. I understand that I am ineligible for employment as a CNA until I reach the age of 18.
Birthdate*
MM slash DD slash YYYY
Initial*
I understand that NW NAC Training will require me to take an English proficiency test if English is my second language. This test will ensure the parties involved of my ability to read, write, speak and understand the English language. I understand that there is no cost for this test.
Initial*
I understand that I must provide a background check with my application. This report may be obtained in a number of ways, including the following:
- Contact Washington State Patrol at (360) 705-5100 or access the WSP website
- Background check included.
There are certain convictions that will cause you to be denied admittance to the program. See admissions personnel for a list of these offenses. Please bring with you on the first day of class.
If you already have your required background check, you can submit your report here:
Max. file size: 300 MB.
Initial*
I understand that I must obtain a negative Tuberculosis (TB) test within the last 6 months prior to the start of class. (We offer free TB tests during class, or you can obtain a list of local clinics that offer TB tests from our office.)
Initial*
I understand there is a $100 registration fee which must be submitted with my application.
Fill out and save enrollment agreement
Enrollment Agreement
Upload completed enrollment agreement*
Drop files here or

Accepted file types: pdf, Max. file size: 300 MB.
Method of payment:*
- With my debit/credit card through PayPal (we take Visa, MasterCard, Discover, and American Express).
- I will call the office at (360) 882-0101 and submit my application and payment over the phone.
- I will send a check to the office with the personal information and desired class date.
Class date*
I have read and understand the requirements and conditions outlined above. Please consider my application for entrance to your Nursing Assistants Certification program.
Initial*
Date*
MM slash DD slash YYYY

(New student app pkt, desktop)
Sponsorship
- Sponsored by your employer
- Sponsored by other facility
If the applicant is sponsored by a company, please list the business name and location
Application Fee
Application Fee
$0.00
Comments
This field is for validation purposes and should be left unchanged.