Form

Premium Class Registration.

Includes:
Books
Lectures
Tutoring
Career Support
Internship Assistance

Please fill out the following, and proceed to purchase.

First name*

Last name*

Email*

Phone number*

By checking the boxes below, you thereby acknowledge and understand the requirements.

I understand that healthcare facilities will require a Background Check. (done in course)*

I understand that a Drug Test will be conducted. (done in course)*

Immunizations will be available before I begin interning.*

Healthcare facilities require full-time interning hours.*

Interning hours are unpaid.*

CSS Healthcare Partners are up 30 miles or 60 minutes away from your address.*

I have a high school diploma or G.E.D.*

I don't just check boxes, I read thoroughly.*