NURSE AIDE TRAINING PROGRAM INFORMATION AND APPLICATION PACKET 2016 SIMPLIFIED CHECK LIST FOR CNA ENTRY Everything on this checklist is explained within this Informational packet and must be completed and turned in to the Nursing Department. Once everything is in your file, we will assign you to a class. You need to plan ahead in gathering the necessary documents and information. Call the Nursing Department at 874-­6519 if you have any questions regarding the requirements below. Application p. 14: • Adult or On-­line classes require : Post-­Secondary application (attached) • High School CNA class requires: Concurrent Enrollment application • Refresher CNA classes: apply through the CNA Coordinator Background Check p.10: Allow at least 2 weeks for processing • This is done on-­line at http://cccs.castlebranch.com • You select our school, Delta Montrose Technical College • Select Nursing from the drop down menu • Agree to terms and then complete your personal information and pay ( $34.50) • This will automatically be sent to the Nursing Dept. Director once it is complete. Copy of your Driver’s License 2 Step TB tests: Allow 2 weeks for completion • You will receive 2 shots and two readings and we need the documentation on both. Hepatitis B injection: This is a series of 3 shots, but you only need the first shot in the series to get into a CNA class. You may have already had this series, we just need the documentation. TABE Test: • This is by appointment only. The testing center is open on Tuesday & Thursday only. Please call for an appointment 874-­6565. • You must pass all sections of the test with a 6.0 or greater. • Waived if ACT scores of English 18, Reading 17 & Math 19 High School Transcript (Official copy sent directly to DMTC) • Or GED Certificate • Or College transcript if you have a degree Essential Functions: If you have an IEP or a learning disability, please note this on the Essential Functions Questionnaire. • If you are pregnant, please inquire regarding enrollment limitations. If approved, you must provide a note of Physician’s clearance. Educ Services/Prog Info /Info Packet/CNA/CNA revised 5/9/16
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COURSE DESCRIPTION:
This course prepares the student to perform the fundamental skills of the nurse aide as defined in the Colorado Nurse
Aide Practice Act. It includes:
o NUA 101 Nurse Aide Health Care Skills (4 credits)
§ Prepares the student to perform the fundamental skills of the nurse aide. Basic nursing skills,
communication skills, restorative services, personal care skills, safety and emergency care issues
are covered. Includes knowledge and/or principles of asepsis, OSHA and HIPPA regulations.
Ethical behaviors, cultural sensitivity and principles of mental health will be addressed, as well
patient and residence rights.
o NUA 170 Nurse Aide Clinical Experience (1 credit)
§ Applies knowledge and skill gained in NUA 101 to patient care
o NUA 105 Home Health Aide Theory (2 credits)
§ Introduces the student to the expanding field of Home Health Nursing. The student will discover
the uniqueness of Home Health Care and the vital role that the nursing assistant plays as part of the
home care team. The student will learn how to assist home care patients with activities of daily
living and maintain a safe, clean and comfortable environment. The student will also learn the
differences and challenges of caring for patient in their natural home environment versus
institutional settings.
o HPR 102 CPR for Professionals (0.5 credits)
§ Meets requirements for American Red Cross Professional Rescuer CPR or American Heart
Association Basic Life Support for those who work in Emergency Services, Health Care and other
professional areas. Material presented in this course is basic patient assessment, basic airway
management, rescue breathing, AED use and CPR for infant, children and adult patients.
VOCATIONAL CREDITS: 7.5 credits
INTENDED AUDIENCES:
• Anyone seeking to become a Certified Nurse Aide or Home Health Aide.
ADMISSION/ APPLICATION POLICY:
• All students must fill out an application and agree to adhere to program policies.
• Payment must be in full prior to being accepted into the program.
Ø We do not accept payments.
Ø If being sponsored, written authorization from the sponsoring facility must be submitted to reserve a
position. Authorizations may be faxed to # 970-874-6593.
• All students must be 16 by the time they take their state examination. Please note, many facilities will NOT hire
before the age of 18.
• All students must be able to speak, read, write and comprehend English.
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• Students must be physically able to perform required activities in the care of the client and patient, medical releases
may be necessary for student in some circumstances. Student must sign and date the Essential Functions
Questionnaire (p. 13) which will be kept in their file. If a student is unable to maintain essential functions it will be
grounds for dismissal.
Ø If you have an IEP or a learning disability, please note this on the Essential Functions Questionnaire.
• Pregnant student’s and students being treated for and/or evidencing medical or mental health problems please refer to
Health and Health Services Policy. Call for a copy if needed.
• Legal citizen or documentation of being lawfully present in the U.S. – see DORA’s Affidavit of Eligibility form.
• We must be informed in advance of any special learning accommodations that are needed or required and these
accommodations will be presented in the classroom setting only. Only under special circumstances can special
learning accommodations be presented in Lab or Clinical setting. Students who require special learning
accommodations must document these circumstances with a statement from an M.D. or Psychiatrist .
• YOU MAY NOT REGISTER OR BE PUT ON A WAIT LIST UNTIL ITEMS #1-4 BELOW ARE ON FILE
IN THE NURSING DEPT
1. TABE:
Ø You must take and pass the TABE ( Test of Adult Basic Education) with a 6.0 or greater.
These tests take approximately 3-4 hours and cost $40.00 (refer to the DMTC Catalog for
further explanation on retaking the TABES. Retake fee is $20.00 )
Ø In all programs except Practical Nursing, the TABE requirement may be waived for students
who meet any of the following requirements:
o An Associate’s degree or higher ( Official Transcript is required)
o ACT or SAT test scores within the last two years that meet or exceed the follow:
English ACT 18 or SAT 440
Reading ACT 17 or SAT 430
Math
ACT 19 or SAT 460
o Previous completion of a program at Delta-Montrose Technical College
o If a High School Junior, * and taking the Concurrent High School CNA course, we
will accept the Accuplacer Test as below
English Accuplacer 95
Reading Accuplacer 80
Math
Accuplacer 85
* This policy applies only to a high school student who is doing concurrent enrollment and who is just entering their junior year
and has not yet taken the ACT or SAT test. If they have taken the Accuplacer test and have the above scores we will
waive the related section(s) of the TABE test.
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2. You must have completed a CRIMINAL BACKGROUND CHECK from Certified Background.com
that will not prohibit participation in clinical experience – (see page 11-12 Criminal Background Check
Procedure and Disqualifying offenses) http://cccs.castlebranch.com
3. You must have proof of a Negative TST (Tuberculin Skin Test) OR If you have a past History of a positive
TST then we require a Negative Chest x-ray result AND documentation from your physician that you are
without symptoms. (See instructions on page 13).
Ø If no previous TST result then you must have: Two-step baseline TST
Ø If you have had a TST in more than 12 months and it is documented negative then you must have:
Two-step baseline TST
Ø If you have had a negative TST result in less than 12 months before starting the program, you must
have: Single TST needed for baseline testing . Results for both tests must be submitted.
4. You must have begun the Hepatitis B Immunization Series or signed an Exemption. You may contact
your health care provider for these records.
UNIFORM REQUIREMENT:
1. Burgundy uniform
• Unisex uniform sets are to be purchased through the bookstore. These are burgundy in color, representing school
colors. Cost is $11.47 per set, tax included. Order on the first day of class. Non refundable…so make sure
they fit.
• Uniform must properly cover body. (i.e. no showing of cleavage or bare buttocks)
• You may wear a black long or short sleeved shirt underneath the uniform.
2. White shoes or all white leather athletic shoes. No clogs, crocs , open toe or heel allowed.
SUPPLIES:
• Watch with second hand (required).
2016 NURSE AIDE TRAINING CLASSES DATES/TIMES:
ADULT DAY NURSE AIDE CLASSES
Times: 8:00am- 4:30 pm, Monday-Friday.( unless otherwise stated) Note: all dates & times are subject to
change
§ May 23rd – June 10th, CPR May 27th
§ July 11th – July 29nd, CPR Jul 15th
Beginning with the August Day class: Times will be : 10:00am – 6pm Monday - Friday
§ August 8th – August 26th , CPR Aug 12th
§ October 24th – November 11th , CPR Oct 28th
§ November 28th – December 16th, CPR December 2nd
EVENING ADULT CNA CLASS :
§ Sept/Oct: Sept 6th – Oct 14th CPR Sept 19-20 ( Mon & Tues)
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Clinical dates are scheduled within the three week course. Clinical sites TBD. Hours for clinical are as follows:
Ø Day 1 8:00am – 4:30pm
Ø Day 2 6:00am – 4:30pm
Ø Day 3 6:00am – 4:30pm
If a second clinical rotation is required due to class size, alternate dates may be scheduled.
EVENING NURSE AIDE CLASSES : Monday – Friday 5:00 PM – 9:00 PM
DATE
CPR
LAB
CLINICAL
FINAL
Sept 6th – Oct
14th
Sept 19th
& 20th
5:00 – 9:00
Lab held at
DMTC
During
each class
CLINICAL SITE TBD
Oct 11th, 12th, 13th
IN SEAT
FRIDAY
Oct 14th
SPECIAL CONSIDERATIONS
ONLINE/HYBRID NURSE AIDE CLASS
Access to a computer will be needed for this class
(These dates subject to change. Please contact the nursing department for verification of dates at 970-874-6519)
Lab times will be at DMTC: You must be physically present for Lab, weekly exams, and Clinical.
2016
DATE
CPR
LAB
CLINICAL
FINAL
SPECIAL CONSIDERATIONS
JAN 8TH –
FEB 26TH 2016
NOTE:
FRIDAY
JAN 15TH
FRIDAYS
8AM –
2:30PM
CLINICAL SITE TBD
FEB 23rd, 24TH, 25TH
IN SEAT
FRIDAY
FEB 26TH
NOTE: WEEK OFF
FEBRUARY 15TH – 19TH
FRIDAYS
8AM –
2:30PM
CLINICAL SITE TBD
May 31st, Jun 1st, & 2nd
IN SEAT
FRIDAY
JUNE 3rd
FRIDAYS
8AM –
2:30PM
CLINICAL SITE TBD
Oct 4th, 5th, and 6th
IN SEAT
FRIDAY
OCT 7th
FRIDAYS
8AM –
2:30PM
CLINICAL SITE TBD
DEC 6th, 7th, and 8th
IN SEAT
FRIDAY
DEC 9th
APR 22nd –
JUN 3rd 2016
8:30-4:30
FRIDAY
Apr 29th
AUG 26th OCT 7th, 2016
8:30-4:30
FRIDAY
Aug 28th
OCT 21st –
DEC 9TH 2016
8:30-4:30
FRIDAY
Oct 28th
NOTE: WEEK OFF
November 21st-25th off
8:30-4:30
NURSE AIDE REFRESHER COURSE AVAILABLE
Please call Jeanne Nortrup in the Nursing Department at 874-6519 for more information. We have a Refresher Course
once a month, depending on the need. Call for details
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LOCATION:
• Adult Day classes are held at Delta Montrose Technical College 8AM -4:30PM MON-FRI
• Clinical days: Location and time TBD for each class
• For Online/Hybrid Nurse Aide class: DMTC for lab 8 hours each week of session
• Clinical Location and time TBD for each session
• Evening Adult classes will be held at DMTC.
DISMISSAL POLICY:
STUDENTS WILL BE DISMISSED FOR THE FOLLOWING REASONS:
• Missing more than one class day, or combined total of 8 hours
• Failure to maintain a 75% or greater in the program.
• Failure to pass ALL exams with a 75% or greater (cumulative)
• Failure to complete 24 hours of Clinical + 4 hours Facility Orientation
• Students may be immediately terminated for failure to follow Substance Abuse Policy.
Ø Drug Screens may be performed at any time with or without cause. The school district assumes no financial
responsibility for the expense of drug or alcohol assessment or treatment provided by other agencies or
groups unless otherwise required.
Ø Testing positive for marijuana with or without a prescription is not acceptable. Although possession and use
of marijuana for certain medical conditions consistent with the requirement of the Colorado Constitution is
no longer a crime in the State of Colorado, the possession and use of marijuana remains illegal under federal
law. Consistent with federal law, including the Controlled Substances Act and the Drug-Free Schools and
Communities Act, the use and/or possession of marijuana continues to be prohibited while a student is on
campus.
• Violation of patient rights or any abusive behavior as deemed by the clinical instructor or facility staff.
• Failure to use proper Nurse Aide Procedure in clinical or lab (per instructor’s discretion).
• Failure to follow Behavioral Standards Policy and Academic Dishonesty Policy – including, but not limited to
cheating, stealing; abuse of a classmate, client or instructor.
• Any student who performs a skill or task for which they have not been trained and found proficient by instructor will
be dismissed from the program.
• Inability to maintain Essential Functions will be dismissed.
• Failure to demonstrate the Lab Skills Critical Criteria will not be allowed to participate in Clinical and will be
dismissed.
Good personal hygiene is an expectation. Students will be warned once for failure to maintain appropriate hygiene and /or
acceptable attire. Students may be dismissed without refund after first warning.
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TUITION POLICY:
• After dropping the CNA Program twice, you must wait 3 months prior to re-admission. You will be charged all the
applicable tuition and fees per Drop/Withdrawal Policy in the DMTC catalog.
• No refund will be given once 15 percent or more of the scheduled time for the class has elapsed. Please see the
DMTC drop, withdrawal, and refund policy for further information.
15% of Online class: 7 days or less (class total is 6 weeks or 42 days)
15% of Adult/High School class: 21 hours or less (class total is 135 hours)
Exceptions: There may be exceptions to policy due to extenuating circumstances at the discretion of the Program
Coordinator and the School Administration.
COMPLETION POLICY:
Students will graduate, awarded a certificate of completion, and will be allowed to test for certification when ALL
of the following have been completed
• Pass NUR 101, NUA 105 AND HPR 102 with a 75% or greater, STUDENTS CAN NOT MISS MORE THAN 8
HOURS OF CLASS.
• Successfully completed a minimum of 24 hours of clinical with a positive evaluation.
• Successfully complete a minimum of 18 hours of laboratory practice. Online/hybrid Nurse Aide class laboratory
requirement is a minimum of 24 hours. Students must make arrangements with instructor for missed lab time.
• Successfully complete the program skills checklist defined by the Colorado Board of Nursing.
• Satisfactorily attained the terminal competencies standards as defined by the Colorado Board of Nursing.
• Students must maintain a 75% in the program. (cumulative)
• Full payment of all monetary obligations including, the return of loaned class books in the same condition as when
borrowed – or reimburse cost of book in full.
LICENSURE / CERTIFICATION:
• Each student must demonstrate satisfactory theory and clinical practice to be eligible for certification.
• Graduation from the program does not guarantee licensure by the State Board of Nursing. Upon completion of the
Nurse Aide course students are eligible to sit for the state certification exam.
• In order to become certified as a nurse aide you must pass a written examination and a practical skills exam in the
lab as per Colorado State Board of Nursing (Nurse Aide Practice Act) The written and skills exams MUST be
passed after 3 attempts or the Nurse Aide class must be repeated.
• Pearson Vue is responsible for administering the state CNA exam, for more information you may contact them at
1-888-274-5050. A list of locations for the test is available on their website
http://www.asisvcs.com/indhome.asp?CPCat=0706NURSE
• Read the Colorado Nurse Aide Certification Program Candidate Handbook available at DMTC or
http://www.asisvcs.com/publications/pdf/070600.pdf
• Students MUST complete a criminal background check. Please contact Pearson Vue for further information
regarding criminal background check at 888-274-5050.
• ADA accommodations are available if you notify Pearson Vue prior to testing (Please refer to Pearson Vue
http://www.asisvcs.com/indhome.asp?CPCat=0706NURSE for further information regarding ADA
accommodations)
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COST:
The prices below are accurate thru June 30th, 2016.
There could be a price increase for classes beginning July 1st, 2015
TOTAL Tuition & Fees: $1,208.00 (Cost based on in-state tuition.) $2,108.00 (Out-of-state tuition)
Cost for State Certification ($123.00) is not included in class cost. Note: all prices are subject to change.
TEXTBOOKS:
Text book: Mosby’s Textbook for Nursing Assistants; 8th Edition, Sheila Sorrentino, ISBN-10: 0323080677
Workbook: Mosby’s Textbook for Nursing Assistants; Workbook and Competency Evaluation Review; Sheila
Sorrentino, ISBN-10: 0323081576
American Heart Association (2010) BLS for Healthcare Providers
Text Books are available to purchase in our bookstore. The Workbook is REQUIRED for the high school class. It is
optional for Adult and Online/Hybrid class.
American Heart Association (2010) BLS for Healthcare Providers can be borrowed for the CPR class
Call the Bookstore for pricing: 874-6505
FULL SCHOLARSHIPS ARE AVAILABLE FOR QUALIFIED STUDENTS WILLING TO
WORK AT THE FOLLOWING SPONSORING NURSING HOMES:
Facility Name
Location
Phone Number
Paonia Care Center
Paonia
527-4837
San Juan Living Center
Montrose
249-9683
Homestead at Montrose
Montrose
252-9359
Horizons Health Care
Eckert
835-3113
Valley Manor Care Center
Montrose
249-9634
* You must contact the individual facility for scholarships
** Qualifying student may also contact the Colorado Work Force Center for assistance.
***Care Centers will only sponsor you if you are planning on working for them.
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Reimbursement notification:
“Pursuant to section 483.152© of the Federal Rules and Regulations related to Nurse Aide Training and
Competency Evaluation Programs (NATCEP), a long-term care facility (“facility’) that receives Medicare or
Medicaid funds must reimburse a nurse aide who pays for a NATCEP and becomes employed by the facility within 12
months of date of certification, prorated for the portion of the 12-month period that the individual was employed by
the facility.”
Please contact The College to register
(970) 874-7671
Equal Opportunity / Affirmative Action
We are an equal opportunity educational institution and will not discriminate on the basis of race, color, national origin, religion,
sex, age, or disability. In our activities, programs, or employment practices as required by Title VI, Title IX and Section 504.
For further information regarding civil rights or grievance procedures, contact John Jones, DMTC Director, 1765 Hwy 50, Delta,
Colorado 81416, (970) 874-7671, or the Office for Civil Rights, U.S. Department of Education, Federal Building, 1244 Speer
Boulevard, Suite 310, Denver, Co 80204-3582, phone (303) 844-5695; FAX (303) 844-4303; TDD (303) 844-3417; or E-mail
OCR_Denver@ed.gov
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CRIMINAL BACKGROUND CHECK PROCEDURE
MUST COMPLETE PRIOR TO REGISTRATION FOR CLASS
A student must have a background check completed by Certified Background prior to first day of class.
Background check information will be accepted in only one of the following three manners:
Ø Adults: Complete criminal background check through: Certified Background at
http://cccs.castlebranch.comYou select our school, Delta Montrose Technical College
Select Nursing from the drop down menu
Agree to terms and then complete your personal information and pay
This will automatically be sent to the Nursing Dept. Director once it is complete.
Ø If a long term care facility is sponsoring a student, and they have an acceptable criminal
background check for the student on file, completed in the past year, this will be accepted.
1. Certified Background will send the report electronically to the Nursing Program Coordinator at the Delta
Montrose Technical College and a copy will be provided to the nurse aide clinical training facility. Students may
obtain a copy from DMTC upon request or have a copy directly emailed to them upon request..
2. If a disqualifying offense is on the report, the student will be notified that they will not be accepted into the
program, and will be encouraged to contact their legal counsel to assist them in clearing their record. Until the
student’s record is clear of disqualifying offenses, they will not be admitted into the nursing aide training
program. Please see the guidelines below.
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NURSING BACKGROUND CHECK CRITERIA
The Colorado Community College System (“CCCS”) and the State Board for Community Colleges and Occupational
Education authorize the nursing programs to conduct a background investigation of all student applicants. The clinical
sites used in the nursing programs require background checks of all potential interns. The purpose is to maintain a safe
and productive educational and clinical environment. New students who refuse to comply with the background
investigation will not be allowed to enter a CCCS Nursing Program.
An Applicant will be disqualified from a CCCS nursing program based on the following guidelines:
• Any violent felony convictions of homicide. (No time limit)
• Crimes of violence (assault, sexual offenses, arson, kidnapping, any crime against an at-risk adult or juvenile, etc.)
as defined in section 18-1.3-406 C.R.S. in the 10 years immediately preceding the submittal of application.
• Any offense involving unlawful sexual behavior in the 10 years immediately preceding the submittal of application.
• Any crime, the underlying basis of which has been found by the court on the record to include an act of domestic
violence, as defined in section 18-6-800.3 C.R.S. in the 7 years immediately preceding the submittal of
application.
• Any crime of child abuse, as defined in section 18-6-401 C.R.S. in the 7 years immediately preceding the submittal
of application.
• Any crime related to the sale, possession, distribution or transfer of narcotics or controlled substances in the 7 years
immediately preceding the submittal of application.
• Any felony theft crimes in the 7 years immediately preceding the submittal of application.
• Any misdemeanor theft crimes in the 5 years immediately preceding the submittal of application.
• Any offense of sexual assault on a client by a psychotherapist, as defined in section 18-3-405.5 C.R.S. in the 7 years
immediately preceding the submittal of application.
• Crimes of moral turpitude (prostitution, public lewdness/exposure, etc.) in the 7 years immediately preceding the
submittal of application.
• Registered Sex Offenders. (No time limit)
• Any offense in another state, the elements of which are substantially similar to the elements of any of the above
offenses.
• More than one (1) D.U.I. in the 7 years immediately preceding the submittal of application.
If the investigation reveals information that could be relevant to the application, the designated individual responsible for
background checks may request additional information from the applicant. The offense shall be reviewed on a case by
case basis.
Ø Students who have successfully completed the terms of a deferred adjudication agreement will not be disqualified.
If any applicant feels the criminal background check is inaccurate, they may appeal the decision and request a
review with the College. It is the applicant’s burden to produce substantial evidence that proves the crimes
charged are incorrect
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How is two-­‐step tuberculin skin testing done? The two-step tuberculin skin test (TST) is used to detect individuals with past tuberculosis
(TB) infection who now have diminished skin test reactivity. This procedure will reduce the
likelihood that a boosted reaction is later interpreted as a new infection.
Four visits? Oh my! Ø Visit 1: Place the 1st TST
Ø Visit 2: Return in 48-72 hours for the test to be read.
Ø Visit 3: Place a 2nd TST. ( 1 week after the first visit )
Ø Visit 4: Return in 48-72 hours for the test to be read.
.
FYI: We will accept 2 TB shots within the past year prior to class Educ Services/Prog Info /Info Packet/CNA/CNA revised 5/9/16
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Please review the following Questionnaire to determine if you are suited for Nurse Aide work.
You will also be asked to sign this form the first day of class.
Questionnaire of Student Essential Functions
1. I am able to concentrate and focus on one thing for 20 minutes or more? YES / NO
2. I am able to do basic math? (Add, Subtract, Multiply, and Divide)
3. I am able to speak, write and read English?
YES / NO
YES / NO
4. I am emotionally and mentally stable and able to work in highly stressful situations?
5. I am able to walk the equivalent of 5 miles per day?
YES / NO
YES / NO
6. I am able to reach above shoulder level? YES / NO
7. I am able to stand for long periods?
YES / NO
8. I am able to lift 50 pounds?
YES / NO
9. I am able to assist patients in ambulation?
YES / NO
10. I am able to grip small objects?
YES / NO
11. I am able to hear (with correction) well enough to respond appropriately to monitor alarms, emergency signals,
and cries for help? YES / NO
12. I am able to hear well enough and have the ability to observe and assess client responses? YES / NO
13. I am able to observe and read equipment – analog watch, BP equipment, scale?
YES / NO
14. I have adequate tactile ability to accurately take a pulse, and perform task that would require my accurate
manipulation of small objects? YES / NO
I am requesting the following exceptions and/or accommodations and will discuss the following with the program
director:
**If you have an IEP or a learning disability, please note this on the Essential Functions Questionnaire
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
To the best of my knowledge I have answered the above questions truthfully and accurately. I understand that if I
start a health career program and do not demonstrate the ability to achieve the Essential Functions that I will not be able to
complete that program. I understand that money will be refunded according to the Refund policy found in the DMTC
catalog, (no refund will be given once 15% or more of the scheduled time for the class has elapsed).
Signature __________________________________________
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