The following is an enrollment agreement for NA applicants. All applicants must pay a $25.00 non-refundable application fee.

Enrollment Agreement

Student Name:
Address: Apt:
City: State: Zip:
Telephone: () - DOB: //

Excel Career Training School and student enters into an agreement under which the student will pay tuition and fees as well as adhere to the school rules and regulations as set forth in the school catalog. The school will instruct the student in the curriculum listed below in accordance with the education Law and Commissioner’s Regulations.

Program: 125 Hours Nurse Aide/ Assistant

CONDITIONS OF ENROLLMENT

  1. All applicants must take an entrance exam if they do not have a High School Diploma or a GED from the U.S. or if their foreign degree is not translated.
  2. All students must undergo a complete physical examination with laboratory results by a doctor, prior to the third week of class. A copy of this exam must be submitted to the school. The cost of this medical examination is the responsibility of the student.
  3. The school will retain the $25 non-refundable registration fee.
  4. All fees and charges must be agreed to as per the Payment of Tuition Policy upon the student enrolling into the program.
  5. Books and supplies becomes the personal property of the student when issued and accepted, and may not be returned to the school for a refund or credit.
  6. A watch with a second hand is needed for the Training Program and must be purchased by the student at his /her own expense.
  7. Students comprehend and agree to the payment policy and if applicable must have malpractice insurance at their own cost.
  8. Students while in attendance at the Training Program, are subject to its rules and regulations for the enforcement of proper discipline and will be studious, respectful, punctual and will not, except for an urgent reason be absent from class. Any student who has committed an offense or who has been accused of committing an offense to a patient or to a fellow student will undergo a complete investigation by the school, affiliating agency and if applicable by the police.
  9. Students are required to be in uniform on the first day of class. NA’s are required to wear white top and bottom and an Excel ID card must be worn at all times while training.
  10. The school reserves the right to terminate a student for any of the following reasons: Unsatisfactory progress, attendance, behavior, non-compliance with rules and regulations of the institution, and or tuition delinquency.
  11. Excel Career Training School Inc. has the right to charge any student for breakage, damage, or loss of equipment for which he/she is responsible.
  12. Nurse Aides are required to do externship. No externship will occur before the school has retained the student insurance, completed medical exam and all required exams are passed. The school will provide the health care facility where the externship will be given. The exact externship scheduled will be determined prior to the beginning of the externship. All students will report on time and be in the accepted uniform for the program. No certification can be issued until the externship is completed.
  13. To attain the certificate of completion all Nurse Aides must pass all required exams and their externship. Nurse Aides are required to take the New York State Certificate Exam upon completion of the externship. The current fee for the examination is $115.00 which is payable by the student, to the Commissioner of Health (NYSNA).
  14. I understand that the Excel Career Training School is not responsible if I, the student does not take or pass the required New York State Nurse Aide/Assistant Examination.
  15. Placement assistant is not offered or promised to graduates upon completion.
  16. Students will not receive telephone calls or visitors during class hours.
I agreed!