Student Information:

First Name *

Last Name *

Phone

Email *

Program Enrolled In *

CNA/STNA Training Program

Hybrid CNA/STNA Training Program

CMA

Class Start Date:

Sponsor Information:

Full Name *

Company Name (if applicable)

Contact Number:

Sponsor Email: *

Payment Method:

Cash

Installment Plan

One-time Payment

Payment Instructions

Please read carefully before submitting payment:

-One-Time Payment:
If you are paying the full tuition in one payment, please use the payment option below.

- Installment Plan:
If you are paying through an installment plan, you must submit at least the required initial payment at the time of enrollment.
The remaining balance may be paid weekly using the link below or by selecting “Make a Payment” from the menu.

🔗 Weekly Payment Link: click here

Sponsor understands all payments must be completed before certificate release.

Make A Payment:

USD

Refund & Return Policy

I acknowledge and agree to the Refund & Return Policy stated above.

By submitting this form and payment, I agree to all policies outlined by Nursing Home Made Easy.

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