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  Registration

Click here to print out a physical application to mail in

or fill out the form below to apply and pay online

  Step One - Application
Name
Cardholders Name (if you are paying online)		  
Birth Date  
Social Security #   - -
Street  
City, State, Zip Code  
Email Address  
Phone Number  
Are you interested in assistance
with placement after graduation?		   Yes No
Highest Level of Education  
Where did you hear about our program?  

Start date of class in which you would
like to enroll

 
    Days Nights Weekends


Enrollment Agreement

  • I have read and understand the Admission Requirements, Attendance Policy and Refund Policy.
  • I agree to pay Bluegrass Nurse Aide Training Center $565 (Tuition is $500 and Textbooks are $65).  This course includes 59 hours of classroom/lab instruction and 16 hours of clinical practice in a long-term care facility.
  • I understand my application fee is $100 and is non-refundable.  The balance of $465 is due 14 days prior to the start of class, and is  non-refundable.
  • I understand my signature on this agreement serves as permission for the administrator to obtain a Nurse Aide Abuse Report.  This background information not only affect my acceptance into this training program, but may affect my eligibility to be employed as a State Registered Nurse Aide.
  • Student must pay $20 by check or money order to Bluegrass Nurse Aide Training Center/Student Liability Account on the first day of class to obtain student liability coverage for the clinical portion of the course.


Electronic Student Signature: Date:

               
(By pressing the submit button this form will pop up in the form of an email. Please click "send" when the email pops up or we will not receive your application. If this email does not pop up please call or email our office to ensure we get your application (859)273-0068)

Step Two - Submit Payment

Click here to pay the $100.00 deposit

or-

Click here to pay the full amount of $565.00



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Bluegrass Nurse Aide Training Center, L.L.C.
304 Southland Drive Lexington, KY 40503
Phone: (859)273-0068