top of page

Certified Nursing Assistant Enrollment Form 
To enroll in Blessings Healthcare Career Academy's
Certified Nursing Assistant Program,
please fill out the form below and click the submit button at the end.

Thanks for submitting!

Blessings-Academy-logo.png
Certified Nursing Assistant Enrollment Form

Education

Work Experience

Please read the items below and sign attesting that you understand and agree to the policies stated.

WITHDRAW, DISMISSAL, REFUND AND RE-ENTRY 

​

WITHDRAWAL: 

Withdraw from class must be requested in writing, and is not official until the administrator receives the letter. A withdrawal does not cancel the student’s financial obligation entered until this day. A student who does not formally withdraw from class is liable for all fees and associated expenses. A ‘’Business Office Hold’’ will be placed on the student’s record until the financial obligation has been paid. If payment is not received after 30 business days, information will be sent to agency collection. Student withdrawing within the 3rd day of school will receive a refund of fees paid minus $150 deducted to cover administrative fees. Refunds may take up to 2 weeks to process which will be mailed via US Mail to the address on file. Please know it is your responsibility to ensure we have the most up to date address on file. Student will be recorded as ‘released from the program’ on the date the student has signed the official termination/withdrawal form. 

​

Dismissal 

Students will be counseled on behavior issues and code of conduct violations twice prior to dismissal from the program. All counseling sessions will be conducted by the program coordinator in person and will be documented via progress report in the students file. 

In case of course dismissal by the school for inappropriate behavior, unsafe practices, or consistently violating school policy, the student will not receive a refund. Student will be called into the Program Coordinators office and made aware of the violated policy/ code of conduct and removed from the program immediately. 

​

Payment Schedule 

Students may pay for the Nurse Aide Training program course in full prior to the start of the course. This is the preferred method. Payments will only be accepted in the following forms: cash, money order, certified funds check, credit card, or debit card. No personal checks will be accepted.

Refund 

Once students enroll in the program they have until the 3rd day of class to decide if they would like to withdraw with a full refund minus $150 to cover any administrative costs. Any student that submits a withdrawal request form after the 3rd day of class will be subject to a refund of 75% refund at 25% of the course completion or 50% refund at 50% of course completion. Students who withdraw after 50% of program attendance will not receive a refund. 

In case of course dismissal by the school for inappropriate behavior, unsafe practices, or any other cause for course dismissal, the student will not receive a refund. 

​

Re-Entry 

Any student who has been terminated from the program will NOT be allowed to re-enter the nurse aide training program or any other program offered by the school. 

​

Students who withdraw from the program on their own account will be able to re-enter the program during the next course offering or future offerings if they choose. Funds paid for prior course offering will not be transferred to the new course the student enrolls in. The student will have to pay the application fee again and must have a background check conducted again, however they will NOT be required to take the entry testing again. 

Students who fail the nurse aide training program may attempt the course again during the next course offering. However, the student only may attempt the nurse aide training program course one additional time. After two attempts the student will not be able to re-enroll in the nurse aide training program again. 

​

Grievance 

All grievances need to be submitted in writing via the student grievance form to the program coordinator. The program coordinator must follow up on the grievance within 2 days of grievance submission to investigate the problem. The Program coordinator will interview all parties involved and make a determination regarding the problem. The student will receive a final answer regarding the grievance within 5 days from the date the grievance was filed. Students should attempt to resolve all issues with the school or its instructors promptly. 

​

Filing a Complaint with the Illinois Board of Higher Education 

If a student is unable to resolve any issues with Blessings Healthcare Career Academy, they may file a complaint with the Illinois Board of Higher Education. 

I certify that I have read and understand the information above with regard to enrolling into the Nurse Aide Training Program with Blessings Healthcare Career Academy.

 

I agree to the terms in this document.

bottom of page