Certified Nursing Assistant Course Application

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Maine Medical Center
CNA Course Application
Information Session
Maine Medical Center’s CNA program is an 11-week, day program, 8:00 a.m. – 2:00 p.m. Monday through Thursday.
Ten (10) days of the program are from 6:45 a.m. to 2:00 p.m. Applicants must be 18 years of age or older.
The specifics of the program (and an opportunity to ask questions) are provided at the Information Session.
In order to be considered for our CNA course, you MUST attend an Information Session. All information sessions
begin at 6:00 p.m. The Information Session to accept students for our spring CNA Class starting in March of 2014,
will be held on Tuesday, November 12, 2013 at 6:00 p.m. in the Dana Center Auditorium. Registration is required to
attend the Information Session. Please register by using the
Application Form
link on the CNA page of the
website. A TABE test (for reading comprehension) is mandatory and will be administered during the Information
Session. Applicants to the CNA Program can take the TABE test only once during a year (a year from the date of the
last TABE test taken).
When you attend the Information Session, you must bring a completed application packet with you. A completed
application packet consists of:
Completed Application Form
(pages 1-6)
TABE score of 11 or above. The TABE test score presented must be version D either test 9 or 10 (be sure to
take the correct version). (To apply for the CNA Program, you must present proof of passing the TABE test which is
a written reading comprehension test. A score of 11 or above is required to take the course. You may take the test
at an Adult Education facility, local testing facility, or the night of the Information Session. If you take the test at an
Adult Education or outside facility, you must present your test score at the time of your interview.) Applicants to the
CNA Program can take the TABE test only once during a year (a year from the date of the last TABE test taken).
Two (2) copies of a picture ID with signature
(driver's license or State ID card)
Copy of proof of High School Graduation or equivalency
Two (2) copies of Social Security Card
Signed State Bureau of Investigation (SBI) form
.
(see page 6 of Application)
Submit, in sealed envelopes, two (2) professional written references from people in leadership capacity only, for
example, current and past supervisors. If you have not been employed for the last few years, another source of
reference such as a teacher, volunteer group leader, or clergy is acceptable.
Please be sure that you bring photocopies of documents that we can keep, as we will be unable to make copies for
you.
Following the Information Session, applications will be reviewed and selected applicants will be contacted to schedule
an interview.
Directions to Maine Medical Center, 22 Bramhall St., Portland, ME
From the North:
Take the Maine Turnpike (I-95) south to Exit 45, the South Portland exit at the Maine Mall.
Take the exit for Interstate 295 after the toll booth, continuing on I-295 north to Exit 5, Congress Street.
Continue along Congress Street through two traffic lights.
Look for MMC's visitor parking garage on the right, opposite the medical office building at 887 Congress
Street.
From the South:
Take the Maine Turnpike (I-95) north to Exit 44, for downtown Portland.
After the toll booth, continue straight on Interstate 295 to Exit 5, Congress Street.
Continue along Congress Street through two traffic lights.
Look for MMC's visitor parking garage on the right, opposite the medical office building at 887 Congress
Street.
From the West - Route 302:
Follow Route 302 east to Forest Avenue.
At the end of Forest Avenue, turn right onto Congress Street.
Follow Congress Street past the third traffic light at Bramhall Street.
Look for MMC's visitor parking garage on the left, opposite the medical office building at 887 Congress
Street.
Application for CNA Program
Revision: 9/2013
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