Application | Allegra's Reign

General Information

Before you proceed with your application, we want to provide you some information that will help you to make an informed decision about learning with us.

1. We assign you to classes based on the availability of our instructors and occupancy of our classes. If you have a scheduling conflict and need to request a different course please email the instructor.

2. An unexcused absence will result in the student being dropped from the course at which point you will be given 72 hours to reapply for another class.

3. Tuition must be paid in full no later than on the designated skills day, or the student will not earn certification.

4. Students must pass their skills day and final exam in order to earn certification.

5. Certification is not a guarantee of employment.

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First Name

Date of Birth

Last Name

Phone

What course are you interested in?

Professional Reference 1

Full Name

Years Known

Phone

Professional Reference 2

Full Name

Years Known

Phone

Why are you passionate about healthcare?

Upload Resume

Upload supported file (Max 15MB)

View this list of Barrier Crimes

Have you ever committed a barrier crime?

Yes

I understand that while conviction of a barrier crime will NOT bar me from earning certification from Amethyst Education Services I can be denied employment from any nursing home, home care organization, or hospice.

Thank you for completing an application. Please continue to pay your deposit fee and submit the application!