APPLY Applicant Details First name Last name Email address Zip code Phone number Date of birth Student type Please select New applicant Current healthcare worker Home Health Aide Former CNA Preparing to challenge the Florida CNA exam Returning AZ SkillCare student Other Education & Training Background School or training institution Year of completion Highest level of education completed Current education or employment status Please select Currently employed in healthcare Currently employed outside healthcare Current student Not currently employed Seeking a career change Other Program & Enrollment Preferences Program of interest Please select CNA Exam Preparation CNA Skills Refresher CNA Boot Camp CPR/BLS Medication Technician EKG Training English for Healthcare Other Preferred Schedule Please select Day classes Evening classes Weekend classes Flexible — any available schedule How Soon Are You Available to Start? Please select Immediately Within 1–2 weeks Within 30 days Within 1–3 months I am gathering information only Other Current Status Please select Currently employed in healthcare Employed outside healthcare Current student Not currently employed Seeking a career change Other Documentation Healthcare Experience or Training Verification Upload Curriculum Vitae (CV) or Resume If you are applying for the Experienced Healthcare Worker CNA Skills Boot Camp, please upload one document verifying your prior healthcare employment, training, certification, or current healthcare-program enrollment Upload Curriculum Vitae (CV) or Resume Declaration Application full name Additional information By submitting this form, I confirm that the information provided is accurate and consent to AZ SkillCare using this information to process my application and contact me regarding enrollment and related services. Submit Aplication
