CNA Enrollment Document


đź“ť Important: Fulfill and Sign this Enrollment Contract
Before completing your purchase, you must sign this enrollment contract to secure your spot in the course. This step is required for compliance with healthcare training regulations and ensures your commitment to the program. Once signed, you will be redirected to finalize your checkout and officially begin your journey with WMTC. 

 

Student Full Name

Student Phone Number

Student Email

Student Date of Birth (must be 18 years or older to enroll)

Student Address

Student Driver's License or Government Issued ID

Student Social Security Number

Student Educational Background

Desired CNA Program

Desired Program Dates

Scrub Size

 

Do you have any felony convictions? If the answer is yes, please refer to your state’s specific licensure or certification qualification and disqualification guidelines. If you have any questions or concerns, please schedule a time to meet with an administrative staff member. 

Are you a minor? If so, a legal guardian must also sign these documents and acknowledge Western  Medical Training Center policy and procedure.  

Certified Nursing Assistant Minor Information: In the state of California, minors are eligible to become  a Certified Nursing Assistant if they are at least 16 years of age or older. Western Medical Training Center  requires a legal guardian to acknowledge and sign the student’s enrollment documents to ensure they  agree to all policies and procedures. The student is the primary contact for their program and will  receive all communications regarding their program. The Certified Nursing Assistant program is highly  regulated by the state of California meaning that all information related to the applicant (also referred to  as the student) can only be relayed to said applicant. If there is a default on payment both parties who  sign this document are responsible for ensuring payment is received by the outlined agreement. Should  legal guardians require additional information on the program, school policies, and state regulations  they can schedule a meeting with an administrative staff member. 

Program Payment Agreement: Upon enrollment in our CNA program, be advised that all fees paid, including the mandatory non-refundable registration fee, must be paid in full prior to the agreed end date of the program otherwise a student will not be eligible to test or complete their program. All fees paid towards the program are non-refundable. The mandatory registration fee, otherwise referred to as the deposit, is applied directly towards your total tuition. A student must either pay in full for their CNA program by their orientation date by 11:59 p.m. PST or they may enroll in the payment plan option. Regardless of the schedule, the CNA program costs a total of $1,500.00* as of 7/22/24. If a student decides to enroll in the payment plan, the timeline is as follows: 

Deposit: $300.00

Installment One: $400.00 on Orientation Day by 11:59 p.m. PST 

Installment Two: $400.00 on Monday/Saturday of 3rd Week by 11:59 p.m. PST 

Installment Three: $400.00 on Monday/Saturday of 5th Week by 11:59 p.m. PST

*Pricing is subject to change and may vary for enrollments completed during promotional events or special offers.

Any installment that is received late, is subject to a fee of $20.00 a day until that installment is paid in full. There is no penalty for paying off a payment plan early. The Certificate of Completion will be with held until the tuition is paid in full. 

This policy and procedure are crucial in maintaining the high quality and integrity of our educational offerings. By proceeding with your enrollment, you acknowledge and accept this policy and procedure. 

Program Completion Agreement: By enrolling in the CNA program, you are committing to completing the program within the specified duration of the program. Failure to complete the program within the agreed upon timeframe, without obtaining and approved extension by the school director, may lead to the loss of progress and certification eligibility. This commitment underscores the student’s dedication to their personal and professional growth through our educational offerings. Below outlines the total days each CNA program is: 

CNA 101A (M – F, 7 a.m. – 3:30 p.m.) – 22 Days

CNA 101B (M – F, 8 a.m. – 2:30 p.m.)  – 29 Days

CNA 101C (M – F, 4 p.m. – 8 p.m.) – 44 Days

CNA 101D (Sat & Sun, 7 a.m. – 3:30 p.m.) – 44 Days

This policy and procedure are crucial in maintaining the high quality and integrity of our educational offerings. By proceeding with your enrollment, you acknowledge and accept this policy and procedure. 

Cancellation Policy: If WMTC cancels your program prior to their orientation day, the student will be refunded all money collected towards tuition, including their deposit, within 30 business days. If the program is rescheduled, this does not constitute the program being cancelled if the rescheduled date is within 90 days of the original start date. 

If a student needs to withdraw their enrollment in their program, the student must drop the program at least 10 or more business days prior to the start date of the program. If the student does not drop prior to 10 or more business days before the start date of their program, they will still be responsible to pay their tuition amount in full. If a student does not show up on their first day of the program, this does not mean that the student is dropped from the program. A student who does not show up to the first day of their program without following the student drop policy will be liable for their full tuition. If a student decides to cancel their enrollment in a program after the start date, they will not be entitled to a refund of any kind and are responsible for the remaining balance on their account. The registration fee, otherwise referred to as the deposit, is not transferable to another course/schedule. If a student decides to move programs, they must pay another non-refundable deposit to ensure registration.

Student Drop Process: 

  1. Student must submit intent to drop, otherwise referred to as withdraw or cancel, in writing to the school director. 
  2. The school director will review the notice and the student’s enrollment agreement. 
  3. If approved, the student will be notified of any financial obligations they have to WMTC as part of their agreement and confirmation of their dropped program. 

Collections Policy: A student account may be sent to collections if payment is not received for their tuition, or excessive late payments occur. It is a student’s responsibility to ensure their payments are received by Western Medical Training Center on-time and in full. If a students account is sent to collections, the student will receive a surcharge of 30% of whatever their unpaid remaining tuition balance is to cover collections charges. 

This policy and procedure are crucial in maintaining the high quality and integrity of our educational offerings. By proceeding with your enrollment, you acknowledge and accept this policy and procedure. 

Academic Probation and Dismissal Policy: The following constitute grounds for dismissal from their program. These rules and regulations are valid for the theory, lab, and clinical portions of the program.

  • Two or more absences from their program. The CNA program is highly regulated by the state of California and is based on hours completed. It is critical for a student’s success in the program to attend every class session in full. 
    • For any missed class time, students must complete make-up hours. Make-up hours are $50.00 a day. The amount of $50.00 a day is standard regardless of how much time a student needs to do make-up.
    • If there is no make-up day available, meaning there is no concurrent class, to make up the hours, the student must schedule private make-up time with an instructor. This is $40.00 an hour. 
    • If a student would like additional tutoring, they have the option to schedule 1:1 tutoring with an instructor for $40.00 an hour.
  • Two or more tardies of more than 15 minutes may be considered to equivalent of one classroom absence. The CNA program is highly regulated by the state of California and is based on hours completed. It is critical for a student’s success in the program to attend every class session in full. 
    • For any missed class time, students must complete make-up hours. Make-up hours are $50.00 a day. The amount of $50.00 a day is standard regardless of how much time a student needs to make-up. 
    • If there is no make-up day available, meaning there is no concurrent class, to make up the hours, the student must schedule private make-up time with an instructor. This is $40.00 an hour. 
    • If a student would like additional tutoring, they have the option to schedule 1:1 tutoring with an instructor for $40.00 an hour.
  • If a student fails to make up their hours for all absences/tardies. 
  • Disruptive behavior which includes, but is not limited to, use of foul language, insubordination, failure to comply with rules, possession of drugs, intoxication, sleeping in class, and so on. 
  • Failure to attend all hours of clinicals. 

This is not an exhaustive list of activities that may lead to a student being dismissed or put on probation. If a student is placed on probation or dismissed from their program, they are still liable for their tuition and will receive an incomplete grade. 

This policy and procedure are crucial in maintaining the high quality and integrity of our educational offerings. By proceeding with your enrollment, you acknowledge and accept this policy and procedure. 

Suspension and Dismissal: Students are expected to always conduct themselves professionally, and  to follow protocols and expectations as outlined in policies and procedure sections of the student  handbook. The school reserves the right to suspend or dismiss any students who:  

  • Conduct themselves in an unprofessional, inappropriate or unethical manner.  • Conduct is deemed detrimental to peers, staff, faculty and / or administration.  • Fails to meet the contracted financial obligations to the college (including payment plans).  • Fails to meet attendance policies.  
  • Fails to meet academic standards.  

• Does not pass criminal background screening or live scan fingerprinting when required.  • Does not pass CPR certification program prior to entering externship training.

NOTICE CONCERNING TRANSFERABILITY OF CREDITS AND CREDENTIALS 

The transferability of credits you earned at Western Medical Training Center is at the complete discretion of an institution to which you may seek to transfer. Acceptance of the program completion certificate you earn in our school training programs is also at the complete discretion of the institution to which you may seek to transfer. If the credits or certificate that you earn at this institution are not accepted at the institution to which you seek to transfer you may be required to repeat some or all your coursework at that institution. For this reason, you should make certain that your attendance at this institution will meet your educational goals. This may include contacting an institution to which you may seek to transfer after attending Western Medical Training Center to determine if your credits or certificate will transfer.

Bureau For Private Post Secondary Education: A student or any member of the public may file a complaint about this institution with the Bureau For Private Post Secondary Education by calling (888)-370-7580 or by completing a complaint form which can be obtained on the Bureau’s website: https://www.bppe.ca.gov/about_us/contact.shtml. 

Course Materials: Students are responsible for the cost of replacing lost or damaged textbooks and course materials. Each student will only be given one loaned textbook and one workbook that they can keep. In case a student loses or damages the loaned  textbook, the student will be charged an amount listed on the textbook agreement page.

Certification and License:  The school’s educational programs lead to knowledge and skills for the state programs. We do not guarantee that our education programs will necessarily be sufficient to obtain any certification or licenses issued by a state, public or private agency. Certification and licenses may require additional study and costs. A third party may administer the examination and further study and a fee may be required.

Severability: If any paragraph, sub-paragraph, provision, or clauses is held invalid, said invalidity shall not affect any other paragraph, sub-paragraph, provision, or clause that can have effect without being invalidated paragraph, sub-paragraph, provision, or clause, and thus is severable one from the other.

Photo Release and Release of Information:  By signing this agreement, you authorize any organization or person, whether listed on this document, to verify information you provided the institution. This may include financial institutions, student loan services agencies, guarantee agencies, US Department of Education, credit bureaus. You authorize us to use any statements you write, any videos, or any photos the school takes for advertisements, publications, or social media that we may publish from time to time.

Please check yes if you agree to the above terms regarding the photo release and release of information section. 

Referred By:  

If you were referred to by a friend, family member, community member, or alumni please indicate that  below as well. 

I verify that the stated information in this enrollment agreement is true and accurate to the best of my knowledge. I agree that the course enrollment procedure and explanation of tuition and fees has been fully explained to me. I acknowledge that I will receive a copy of the enrollment agreement form and agree to all the information covered in said agreement. I agree this document is binding and I will uphold all aspects detailed above.

 

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Signed by Damien Weston
Signed On: November 25, 2024


Signature Certificate
Document name: CNA Enrollment Document
lock iconUnique Document ID: 42c2b19c7421fb58402dbf27c29645314640cae5
Timestamp Audit
September 4, 2024 2:45 pm PSTCNA Enrollment Document Uploaded by Mikaela Schaefer - connect@equiphs.com IP 186.195.236.50
September 5, 2024 1:58 pm PST Document owner support@equiphs.com has handed over this document to miwanyc@equiphs.com 2024-09-05 13:58:58 - 99.38.233.72
November 25, 2024 12:29 pm PSTMikaela Shaefer - mikaelas@equiphs.com added by Mikaela Schaefer - connect@equiphs.com as a CC'd Recipient Ip: 186.195.236.50
November 25, 2024 12:36 pm PSTMikaela Shaefer - mikaelas@equiphs.com added by Mikaela Schaefer - connect@equiphs.com as a CC'd Recipient Ip: 186.195.236.50
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