2024 CMA-CEU Enrollment Contract: Day Class

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Wings Health Care Training Enrollment Contract

CMA-CEU Class

-- Please select a Date --

First Name

Middle Name

Last Name

Date of Birth

YYYY

Please select

SSN#

Address

Phone

Emergency Name

Emergency Phone Number

C.N.A Certification #

C.M.A Certification #

Please check each box to show that you have read and acknowledge each statement:

Tuition cost of this course is $50.00. Tuition is due at the time of enrollment. Each student will receive a receipt. Your seat is not guaranteed until your tuition is paid in full.

Tuition Includes: 8 Hours of Classroom Training, Supervised Practical Training and Course Completion Certificate.

I understand that this program is training only in preparation for tests/certification/certificate of completion. Certification is not guaranteed.

Wings Health Care Training is licensed by the Oklahoma State of Department of Health and follows their guidelines for Certified Medication Aide 8-Hour CEU Program in Oklahoma.

I understand that weapons are strictly prohibited on Wings Health Care A person possessing aweapon where prohibited will be dismissed from the training program and may be subject to prosecution.

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Wings Health Care Training Enrollment Contract

Refund-Policy: This policy replaces any prior refund policy. This policy applies to Withdrawn, Dismissed and students requesting Cancellation. Eligible refund amounts exclude non-refundable fees and may vary with the passage of time. Refunds will be paid to the entity legally entitled to the refund. All refunds must be requested in writing within 60 days of payment. All monies paid for a Rejected student will be refunded. No payments or deposits are transferable to another student. Non-refundable fees include deposits, processing/registration fees, tax, student kits, OSBI checks, drug testing fees, nurse kits, scrubs, stethoscopes, blood pressure cuffs and testing fees. Discontinued class: The school will have 30 days to restart the class or pay the refund. Special Cases: If it becomes impractical for a student to complete the course, the school shall make a settlement which is reasonable and fair to both. Non-refundable fees will not be included in this computation. CEU students are eligible fora refund minus non-refundable fees if they do not attend class: A student completing more than the sessions listed above is not entitled to a refund. A student who has paid in-full can apply their original payment to 2 additional reservations within 90 days of the original payment. After 90 days or 3 total reservations, the student must pay tuition again.

Sexual misconduct will not be tolerated. A student(s) suspected of sexual harassment/assault will be suspended until the complaint is investigated. If the complaint is found to be valid, the student(s) will be dismissed and will be ineligible for future training at Wings Health Care Training and may be subject to criminal charges. Non-refundable fees will not be included in any refund issued.

Information Regarding Certification

I understand that once I have successfully completed the Certified-Medication Aide Training 8-Hour Continuing Education Program: Wings health Care Training will submit to the Nurse Aide Registry the following information within 30 days-of-conclusion: The title of the class and number of hours offered 2) The sponsor's name, date and location of the program, title of the class, number of hours offered, the name of each participant, the certification number of each participant and the number of hours attended for each CMA who satisfactorily completed the continuing education class. The program will provide each CMA participant with a Certification of Completion upon completion of the program. A certified medication aide shall renew certification every (12) months. Recertification requires the following: Documentation of completion of at least-eight (8) hours of continuing education every (12) months, excluding the first year after certification.

Holder in Due Course Rule: Any holder of this consumer credit contract is subject to all claims and defenses which the debtor could assert against the seller of goods or services obtained pursuant hereto or with the proceeds hereof, recovery hereunder by the debtor shall not exceed amounts paid by the debtor hereunder.

By signing below, I am indicating that I have read, agree to and understand all of the preceding information in this contract regarding my enrollment, training and requirements in the Wings Health Care Training Certified Medication Aide CEU Program, the OSDH/NAR Rules and Regulations and understand that I can receive a copy of this agreement. I attest that the information I have provided is true, correct and complete to the best of my knowledge and belief.

Student Signature

Verification