CNA Forms and Fees

Please click on the links below to open up the forms needed for CNA students:

CNA FORMS

The following forms require signature of the parent and the student. You may sign the virtual signature form (see below in red) and submit to acknowledge all forms except Registration. The Registration form must be filled out and submitted separately.

Wilco Area Career Center Student Registration Form - clink link below

     Student Registration Form

Health Care Syllabus  - click link below   

     CNA Syllabus 2017

Physical - click link below

     CNA Student Physical Form

     Clinical Rules

Student/Parent Handbook

      Student/Parent Handbook 2017   

 

VIRTUAL SIGNATURE FORM FOR PARENTS - click on link below and hit send at the top to submit. Sending this form verifies you are in receipt of the forms listed above. The registration form needs to be filled out separately and submitted to the school.

https://docs.google.com/a/wilcoacc.org/forms/d/17IyQfDyzn_hFQ1T63nQpbwvWwHABoh_wYmbgRw94eF0/edit?ts=5963dbfa

 

The following forms require the signature of the student ONLY:

No Trespass Notice

Healthcare Worker Background Check Form (if student is younger than 17, parent signature is needed)

 

ADDITIONAL DOCUMENTS REQUIRED:

A photocopy of each student's drivers license or state ID

A photocopy of auto insurance card for each driver 

A photocopy of each student's social security card

 

CNA FEES:

Required Fees:

Uniform top and pants purchased from Wilco: $38 per student due by Friday 9/1/17

AHA BLS CPR Certification with CPR Card: $25 per student due by Friday 9/1/17

Background Check Fee: $33 per student due by Friday 9/1/17

State Registration Fee: This fee will need to be paid in May 2018 during State CNA exam registration. Students will be instructed to the website where they can pay this fee and complete the process of registering for the state certification exam. Students will need a credit card or debit card to complete this transaction.

Optional Fees:

Gait Belt: $10 each

Class Text Book for personal purchase: $45 (new)  $10 (Used)

Workbook for class: $30 can be purchased on Amazon

HOSA Membership: $25

 

***Students are to pay fees in the Wilco Office and present receipt of payment  to their instructor. All required fees must be paid as stated to prevent the student from being held back in clinical start.