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NOTICE:
Effective immediately anyone wishing to enroll in the CNA training program at the Philadelphia Academy for Nurse Aide Training, Inc (PANAT) MUST show proof of at least one Covid Vaccine.

In addition, following guidelines of the CDC and our Nursing Home partners all participants must be willing to subject themselves to a Rapid Covid Test. This test will be administered by OUR staff on or before the first day of the Nursing Home rotation. There will be a Mandatory $25.00 charge for this test payable at the time of registration except for sponsored students.

First Name *

Last Name *

DOB *

Email *

Street *

City *

State *

Zip *

Phone *

Sex *

Male Female

Password *

Is your tuition being paid by a Sponsoring organization? *

Yes No

Do you have a high school diploma or GED? *

Yes No

Have you lived in of Pennsylvania for the last 2 years? *

Yes No

Have you ever been convicted of a felony or other criminal record? *

Yes No

Have you had a Pennsylvania State Police criminal background check in the past 12 months? *

Yes No

Have you had a negative PPD (Tuberculosis test) in the past nine months? *

Yes No

Would you like to receive a PPD at our office prior to the start of classes? *

Yes No

Please include two government issued PICTURE ID’s. These may include State issued driver’s license or ID, Passport, Resident card etc.

SOCIAL SECURITY CARDS AND BIRTH CERTIFICATES ARE NOT ACCEPTABLE FORMS OF ID

I have had at least one Covid Vaccine. Attached is a copy of my Vaccination Record Card

I have NOT had a Covid vaccine yet but will get one prior to the beginning of the Nursing home rotation. I understand that failure to get at least one vaccine will disqualify me from participating in the Nursing Home experience until I receive such a vaccine. I also understand that this will delay my completion of the program. I also understand that there will be NO refund of any fees paid to Philadelphia Academy for Nurse Aide Training as a result of being disqualified from completing the course due to not having received a Covid vaccine.

We accept Checks, Money orders as well as Credit and Debit cards.