Enrollment & Payments

Pre-Enrollment Form

Please enter your information as it appears on your driver's license or government issued ID. All enrollment paperwork must be completed before you start class. You are always welcome to enroll in person.

• C/LNA
• CPR
• 1st-Aid
• Caregiver

First Name

Last Name

Middle Name or Initial

Street Address (ex: 8900 North Central)

City

Zip

Phone (ex: (555)555-5555)

Email

Birthdate (MM/DD/YYYY, must be above age 16) Course Start Date (please see the CNA/LNA course calendar or contact us for start dates)

Course Time - Course time - Day Evening Payment amount (optional)

Please come in to setup payment plans or pay in person

- Initial payment - Enrollment Fee Only ($300) Enrollment + Full Tuition ($1250)

Comments (optional)

Submit



To submit, please complete all fields and click the checkbox below.
Payment options will appear if you wish to pay online.

Enrollment Options

Enrollment Only $300.00 USD Enrollment + Full Tuition $1,250.00 USD

The AHA CPR course cost is $30. SCSN CNA students may receive an additional discount based on exam performance.

First Name

Last Name

Email

Course Date (please see the CPR course info) or contact us for dates. Course Time? - Course time - 10AM 2PM 6PM

Phone (ex: (555)555-5555)

Current CNA/LNA Student? - Current CNA/LNA student - YES NO

Special Notes (optional)

Sign Up



To submit, please complete all fields and click the checkbox below.
Payment options will appear if you wish to pay online.

The AHA 1st Aid course cost is $30. SCSN CNA students may receive an additional discount based on exam performance.

First Name

Last Name

Email

Course Date (please see the 1st Aid course info) or contact us for dates. Course Time? - Course time - 10AM 2PM 6PM

Phone (ex: (555)555-5555)

Current CNA Student? - Current CNA Student - YES NO

Special Notes (optional)

Sign Up



To submit, please complete all fields and click the checkbox below.
Payment options will appear if you wish to pay online.

Pay