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  • CNA Blended Learning Application

    Please answer each question fully and accurately. If you have any questions please contact us at (770)-261-1102.
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  • Signature / Authorization


    I agree to pay the total cost for the Certified Nursing Assistant(CNA) Program per the signed payment contract. I also agree to abide by the policies and procedures of Hillendell's CNA Program. I am also aware that I have the right to review (CNA) program policies and procedures at any time during the program. I am aware that I need a two-step PPD (TB) vaccine, proof of current high school enrollment or completion of High School, GED or College Transcripts

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