Registration First Name Last Name Email Phone Number Mailing Address City State / Province / Region Date of Birth * Emergency Name Emergency Number Which program are you interested in? Nurse Aide Training (CNA) Which class dates are you registering to attend? June 2024July 2024 Which campus would you like to attend? 1915 Crown Plaza Blvd, Plainfield, Indiana 461689100 purdue rd Suite 100 Indianapolis, IN 46268 Which schedule works best for you? MorningAfternoonWeekend What size scrubs do you wear? XSSMLXL2XL3XL Message
