New Training Opportunity!

Transcription

1 New Training Opportunity! Certified Nursing Assistant (CNA) & Home Health Aide (HHA) Certified Nursing Assistant & Home Health Aide Training is an excellent training opportunity for individuals interested in pursuing a career in the rewarding field of Healthcare. Successful completion of the training and passing the NYS test will result in certification as both a Certified Nursing Assistant and Home Health Aide. Course Overview: The course consists of an intensive 11 week training program starting on March 25, There will be a combination of evening classes during the week at the FM campus and clinical training on Saturdays at a local health care facility. Upon successful completion of the training program, students will be scheduled for the NYS Licensing Exam for CNA and HHA. Attendance at all the classroom and clinical instruction is mandatory in order to complete the training and take the NYS Exam. Sixteen students will be accepted into the program. Applications will be on a first come, first serve basis. The application deadline is March 19, How do I apply for acceptance into the training program? 1) Complete the attached application. 2) Provide all required documentation: Proof of minimum age of 17 years Proof of high school diploma or high school equivalency Completed physical examination and FM Health Exam Form dated within 6 months of application date Proof of TB test dated less than 12 months prior to application date Proof of MMR immunization or Titer certificate 2 Forms of ID are required Primary ID must be a Government issued photo ID such as a driver s license Secondary form of ID, must have a matching (same name) signature. 3) You must attest to having a clear criminal record (absolutely no misdemeanors or felonies) 4) You are required to have a watch with a sweep, second hand and a CNA/HHA uniform (shirt, pants and healthcare worker shoes) to be worn for clinical training only (not included in the fee for the training) 5) Submit application and documents to FM at the Riverfront Center with your payment or a letter of commitment from a sponsoring agency. Center for Employer Services at FM February 24, 2014 Page 1

2 What is the cost of the CNA/HHA training? The course fee is $1, which covers all the expenses for classroom and clinical training, the training materials and testing fees. What are the requirements for CNA/HHA Licensing? After successful completion of the classroom and clinical portion of the program, students will be scheduled for the NYS Licensing Exam to become certified as a CNA/HHA. Proper ID: see application. No Criminal Record (absolutely no misdemeanors or felonies). There will be 6 written tests throughout the course. A minimum grade of 70% is required in order to sit for the NYS Licensing Examination. Official NYS CNA/HHA Certification is achieved through attainment of a passing grade on both the NYS written and practical-skills exams. If the student fails either assessment, they will NOT be certified. No make-up or repeat certification exams will be scheduled through FM. Students who miss the test date at FM must contact testing agency (Prometric) to re-test at a regional testing facility at their own expense. What is expected of participants during the training? The program consists of 11 weeks of training and will be a combination of classroom and clinical instruction. Attendance is mandatory in order to complete the training and sit for the NYS Licensing Certification Exam given at the conclusion of the program. Students are expected to arrive on time and be prepared to participate in all the training activities. Outside of the class time, the students will need to study for the tests throughout the training and for the NYS Licensing Exam at the end of the training. It will be important for students to ask questions and ask for help in understanding the classroom material and clinical procedures. How can I get assistance to help pay for the training and testing? No financial aid is available for this training. You can inquire about assistance to pay for the training through: 1) Workforce Solutions Center of Fulton, Montgomery, Schoharie Counties in Amsterdam (if you qualify for their services). 2) NYS ACCES-VR in Gloversville (518) (may be able to help if you have a disability). 3) Your Employer may consider sponsoring you in the program or you may be able to find a healthcare organization that is willing to hire you and sponsor you for the training. What is the Refund Policy? Applicants who withdraw from the program by March 21, 2014 will receive a full refund. Application and required documents must be submitted by March 14, 2014 to: Fulton Montgomery Community College 1910 Riverfront Center Amsterdam, NY Center for Employer Services at FM February 24, 2014 Page 2

3 Certified Nursing Assistant & Home Health Aide Training Application March 25, 2014 June 7, 2014 Application Deadline: March 19, 2014 Participant information: Last Name: First Name: M.I. :. Maiden name/other names known by: Date of Birth: / / Social Security #: Gender: Male Female Street Address: Apt. #: City: State: Zip Code: County: Home Phone: ( ) - Cell Phone: ( ) - Can FM send you text messages about this program? Yes No Address: Are you a US Citizen? Yes No If not, are you authorized to work in the United States? Yes No Are you a high school graduate or do you have a high school equivalency? Yes No Have you ever been convicted of a crime (felony or misdemeanor)? Yes No Applicant Certification: I understand that all information submitted is true to the best of my knowledge. Any deliberate falsification or omission of application data may result in denial of admission or dismissal. I have reviewed the program requirements and I accept all the participation and attendance requirements of this training program. Applicant s Signature Date Please return this completed application along with documents outlined on the application checklist (on the back of this form) to FM at the Riverfront Center, 1910 Riverfront Center, Amsterdam, NY Applications that are not complete or are missing documentation will not be accepted. Completed applications will be accepted on a first-come, first-served basis for available class openings. There are 16 seats available for this class. Center for Employer Services at FM February 24, 2014 Page 3

4 CNA/HHA Application Check List Proof of all items listed below is REQUIRED in order for your application to be accepted Proof of age (at least 17) Proof of high school graduation or high school equivalency Completed FM CNA / HHA Health Exam Form signed by physician and dated no more than 6 months prior to application date. Proof of TB test and results dated less than 12 months prior to application date. Proof of MMR immunization or Titer certificate showing immunity prior to application date. TWO forms of Identification for testing: Government issued photo ID with signature. (for example: driver s license). Secondary I.D. with matching (same name) signature. (for example: social security card, benefit card, debit/bank card, library card, passport) THIS SECTION IS FOR College USE ONLY Application Received by: Self-Paying for Course Date Received: / / Check # Accepted Reviewed and Accepted by: Date accepted: Seat # / / Acceptance letter sent by: Date: NOTES: Money Order # Credit Card #: Expiration Date: Sponsored by: Workforce Solutions Access VR Other: (Please indicate): Approval letter from sponsor attached Center for Employer Services at FM February 24, 2014 Page 4

5 Fulton-Montgomery Community College Certified Nursing Assistant (CNA) & Home Health Aide Program (HHA) Health Exam Form Student: Complete personal information first MUST BE SUBMITTED TO FM WITH THE APPLICATION FOR THE TRAINING PROGRAM 1) Completed physical examination form performed within 6 months of application date. 2) Proof of a TB test dated not more than 12 months prior to application date. 3) Proof of MMR immunization dates or MMR Titer and proof of immunity. Applicant Name: Address: Street/Apt.#: City: State: Zip: Phone (day) (evening) Emergency Contact: Phone: Sponsoring Agency (if applicable): Physician: Complete this portion. Date of Physical Examination: Date, if different from examination date. Physician: Student Eligibility Requirements for CNA/HHA Training Program: Training in transferring, positioning, and the turning of residents/clients is an important and required part of this training program. Therefore, the applicant must have the physical ability to do the training and be able to lift at least 50 pounds to waist level without restrictions. The applicant must pass a physical examination, be in good health, and free of communicable diseases. Does the applicant have any limitations? No Yes If yes, please explain: Is applicant able to lift at least 50 pounds to waist level? Yes No I certify that I have examined this applicant and believe him/her to be in good health, free from and not a carrier of communicable diseases, and able to perform the physical requirements of the CNA/HHA program. Signature Date TUBERCULIN TEST: PPD or TST Test (required with results and dates read) NOTE: TB Test results are only good for one year. Results must be dated less than 12 months prior to application date. Date administered: By whom: Date read: By whom: Results: If results are positive, describe treatment given and date completed: MMR vaccine administered: #1 #2 OR MMR Titer date and proof of immunity: Center for Employer Services at FM February 24, 2014 Page 5

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7 Fulton-Montgomery Community College CNA/HHA TRAINING SCHEDULE (updated ) March 24, 2014 June 9, 2014 MARCH College Closed APRIL College Closed MAY pm (starts 1 hr. early) College Closed JUNE Class at FM, Room C-129 Clinical at local Healthcare Facility at FM, Room C-129 Center for Employer Services at FM February 24, 2014 Page 7