CERTIFIED NURSE AIDE (CNA) 2018 TRAINING & CERTIFICATION PROGRAM APPLICATION - Athens Technical College
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CERTIFIED NURSE AIDE (CNA)
2018 TRAINING & CERTIFICATION
PROGRAM APPLICATION
ATHENS TECHNICAL COLLEGE | ECONOMIC DEVELOPMENT SERVICES
800 US Highway 29 North | Building N | Athens, Georgia 30601
www.athenstech.edu | aravotti@athenstech.edu | (706) 227-7009
Athens Technical College is a unit of the Technical College System of Georgia and is an Equal Opportunity Institution.2018 Application & Program Information
Certified Nurse Aide (CNA) Training Program
CNA Training Program Overview
What Do CNAs Do?
Certified Nurse Aides (CNAs) provide hands-on healthcare to patients in medical settings. They assist
with bathing, dressing, and other fundamental life activities. CNAs handle additional duties such as
documenting health issues, dressing wounds, feeding, and simply interacting with their patients in a
friendly and caring way.
While CNAs can be found in hospitals, the majority are employed in nursing and residential care facilities,
homecare environments, and in hospice. CNAs interact with patients on a regular basis and get to know
them personally. The routine interaction between a CNA and the person being cared for is crucial because it
creates an environment of comfort and predictability for the patient.
Who Should Consider Being a CNA?
Being a CNA requires compassion, dependability, strong communication skills, empathy, and patience.
CNAs are in high demand, and many applicants who obtain certification choose to continue their studies
to advance their careers. CNAs often go on to become Licensed Practical Nurses LPNs), Registered Nurses
(RNs), or other healthcare professionals.
Program Provider
The CNA program is offered by Athens Technical College Economic Development division. It is a state-
approved, 12-week curriculum that prepares participants for a meaningful, fulfilling career as a CNA in the
healthcare industry. All instructors hold a minimum of an RN credential, and are experienced in long-term
patient care management.
Hands-on Curriculum & Instruction
THE CNA program teaches applicants the necessary information and clinical skills needed to work as a Nurse
Aide in a variety of healthcare settings including long-term, home care, hospice care, and acute care settings.
The program prepares applicants to take the Georgia Certified Nurse Aide Certification Exam.
The program is taught through instructor-led lectures, demonstrations, and exercises. It also includes
supervised on-site clinicals in a Nurse care setting and a “boot camp” to prepare for the state certification
exam.
Program Objectives for Real-World Experiences
• Learn how to assist in the physical and emotional care of patients.
• Practice how to track patients’ vital signs including blood pressure, temperature, and pulse.
• Discover techniques for positive, effective communication with your patients.
• Gain hands-on experience through the use of actual medical equipment.
• Develop an understanding of basic human anatomy and physiology.
2
Updated 3/19/182018 Application & Program Information
Certified Nurse Aide (CNA) Training Program
Healthcare Body of Knowledge
Components Taught • Personal Care Skills
• Understanding Healthcare Settings • Basic Nurse Skills
• The Nurse Aide & the Care Team • Nutrition & Hydration
• Legal & Ethical Issues • Urinary & Bowel Elimination
• Communication & Cultural Diversity • Common Chronic & Acute Conditions
• Preventing Infection • Confusion, Dementia & Alzheimer’s Disease
• Safety & Body Mechanics • Mental Health & Mental Illness
• Emergency Care & Disaster Preparation • Rehabilitation & Restorative Care
• Human Needs & Human Development • Special Care Skills
• The Healthy Human Body • Dying, Death, and Hospice
• Positioning, Transfers & Ambulation • Caring for Your Career & Yourself
• Admitting, Transferring & Discharging
• The Resident’s Unit
Program Application & Filing Requirements
2018 Program Dates & Locations
Athens Campus
Application Information
Session Orientation Class Begins Class Ends State Exam
Deadline Meeting
Winter January 12 January 19 February 9 February 13 May 16 May 17
Spring February 23 March 2 March 14 March 19 June 13 June 14
Summer June 15 June 22 July 13 July 16 October 11 October 12
Fall August 24 August 31 September 14 September 18 December 11 December 12
Greene County Campus
Application Information
Session Orientation Class Begins Class Ends State Exam
Deadline Meeting
Summer May 11 May 18 June 8 June 12 August 31 September 1
32018 Application & Program Information
Certified Nurse Aide (CNA) Training Program
Program Application & Filing Requirements continued
Age Requirement & Identification
• Those applying for the CNA Training Program must be at least 18 years of age.
• CNA program applicants must present two forms of identification:
• A valid Social Security Card is required.
• A second form of government-issued photo ID is required in addition to your Social Security
Card. Examples include driver’s license, military ID, and passport.
Educational Requirements
• Applicants must have earned a high school diploma or GED, and must present a copy with the
program application.
• The successful candidate is expected to score at least a 7th grade math and reading level on the
TABE exam. This test will be proctored at Athens Technical College prior to your acceptance.
Background Check & Drug Screening
• Applicants must pass a background check and drug screening before and/or during working in any
long-term care facility, and/or prior to being placed at the clinical site.
• Do not request a background screening when submitting this application. Instructions on how to
apply for the background and drug screen will be provided to you at Program Orientation.
Participant Health Requirements
• After admittance to the program, participants will be required to be tested for Tuberculosis (TB Test).
Do not complete the TB test until instructed to do so by the Athens Technical College CNA Program staff.
• All costs or expenses associated with TB testing are the responsibility of the applicant and will not be
covered by scholarships or by Athens Technical College.
• It is preferred that applicants who are applying for entry into the CNA program receive, if they have
not already, a Hepatitis B vaccination.
• Those choosing not to receive the Hepatitis B vaccination will be required to sign the waiver found
on page 6. This waiver should be submitted with the application.
• Any costs or expenses associated with the Hepatitis B vaccination are the responsibility of the
applicant.
Attendance Requirements
• 100% attendance is required to successfully complete the CNA program. A strong commitment
to the program is expected. We are unable to make exceptions to this policy. Employers expect
dependable attendance.
• Following the class, labs, and clinicals, applicants are required to attend and successfully complete
Boot Camp in preparation for the State Competency Exam. After Boot Camp is completed, applicants
will receive a certificate of completion for their successful completion of the CNA training program.
More Information is Available Online
www.AthensTech.edu/EconomicDevelopment/Training/CNA
42018 Application & Program Information
Certified Nurse Aide (CNA) Training Program
Program Application & Filing Requirements continued
Your Application
Applications will be kept on file for one year from the date of receipt. During that time, we will contact
applicants with program updates, start dates, and other important information.
Application Submission
You may submit your signed application and other required documents by email, mail, or by hand delivery.
Via Email:
aravotti@athenstech.edu
Mail or Hand-Deliver to:
Amy Ravotti, RN
Program Coordinator & Lead Instructor
Athens Technical College
Economic Development Services Division
800 US Highway 29 North | Building N
Athens, GA 30601
Questions? Please Call: (706) 227-7009
FINANCIAL INFORMATION
Program Fees
The CNA Program fee is $2,900. This fee includes:
• Course Instruction
• Program Tuition
• Textbooks
• Scrubs: Top & Pants
• Stethoscope
• Blood Pressure Cuff
• Gait Belt
• CPR, AED, & First Aid Certification
• State CNA Certification Exam
• Drug Screening / Testing
• Background Check
Tuition Funding is Available for Those Who Qualify
Taught through the Economic Development Services Division at Athens Technical College, many applicants
are eligible for funding through the Workforce Innovation and Opportunity Act (WIOA) and the Northeast
Georgia Regional Commission (NEGRC). The program fee and all required materials are covered for those
who meet WIOA eligibility requirements.
5Application
HEPATITIS B VACCINE
CERTIFIED NURSE AIDE Training Program
Please complete by accepting or declining the Hepatitis B vaccine and submit with your application.
PLEASE CHOOSE EITHER TO ACCEPT OR DECLINE THE HEPATITIS B VACCINE
BY CHOOSING ONLY ONE OPTION BELOW
ACCEPT
When you check “Accept,” you are stating the following:
I understand that due to my occupational exposure to blood or other potentially infectious materials, I may be at risk of
being infected by blood borne pathogens, including Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV). This
is to certify that I have been informed about the symptoms and the hazards associated with these viruses, as well as the
modes of transmission of blood borne pathogens. I have been given the opportunity to be vaccinated with the Hepatitis B
vaccine. In addition, I have received information regarding the Hepatitis B vaccine. Based on the information that I have
received, I am making an informed decision to accept the Hepatitis B (HBV) vaccine. I also understand that I am responsible
for all cost sassociated with the vaccine.
DECLINE
When you check “Decline,” you are stating the following:
I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of
acquiring Hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with the Hepatitis B vaccine.
However, I decline the vaccine at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring
Hepatitis B, a serious disease.
CHECK ONE:
_____ I ACCEPT the Hepatitis B vaccine inoculation OR
_____ I DECLINE Hepatitis B vaccine inoculation
Print Name:
Signature:
Date:
6Application
PROGRAM APPLICATION
CERTIFIED NURSE AIDE Training Program
Please complete all required areas of this form. Contact us if you have questions regarding any of the required information.
Full Legal Name:
First Middle Last
Mailing Address:
Street Number Apt./Suite #
City State Zip Code County of Residence
Preferred Phone(s):
Email Address:
Date of Birth: Last Four Digits of SSN:
What Year Did You Graduate High School? Or highest grade completed:
Name of High School:
Or GED Testing State & Year (if applicable):
Preferred Location for CNA Program: Athens Greene County Wilkes County
Sex: Male Female Prefer Not to Answer
Please list any certifications currently held:
Please list/summarize your previous work experience:
7Application
PROGRAM APPLICATION continued
CERTIFIED NURSE AIDE Training Program
Please complete all required areas of this form. Contact us if you have questions regarding any of the required information.
Please list any experience you have in a healthcare setting, or any experience caring for the elderly,
sick, or disabled.
By signing this application, I certify that my application information is true and correct to the best of my knowledge and I
understand that falsification or omission of information may result in denial or rescinding of admission to Athens Technical
College’s non-credit, Certified Nurse Aide (CNA) program. Please note that applications will be kept on file for a one-year period.
Applicant’s Signature: Date:
FOR OFFICE USE ONLY
Required Materials Checklist:
c Copy of SS Card
c Copy of Photo ID
c TABE Results/Scores
c Proof of HSD/GED
c TB Test Results
c Hepatitis B Test Results or Hepatitis B Waiver
c Payment or WIOA Forms/Acceptance
c ____________________________________________
c ____________________________________________
Application Reviewed: Date: Reviewed by:
Participant Interview: Date Held: Interviewed by:
Comments:
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