APPLY/ENROLL - Agape Health Care Schools

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Agape Health Care Schools

CNA, CPR, EMT, MFR, and PhT Training Classes in Michigan

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Application fee is $49. Forms may be submitted without payment.

If applying for a CNA scholarship no app payment is required unless otherwise instructed.

First Name *

Middle Inital *

Last Name *

Email Address *

Phone Number *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Which class are you enrolling? *CNA CadillacCNA FrankfortCNA GaylordCNA Harbor SpringsCNA Reed CityCNA Traverse CityEMT CadillacEMT Traverse CityMFR CadillacMFR Traverse City

Class Start Date *

Payment Method *

Who is you representative at MI Works? *

Who is sponsoring your scholarship? *

Describe your Other payment method: *

Other/Maiden Names (used only for required background check) *

Birthdate (used only for required background check) *

Gender (used only for required background check) *

Race (used only for required background check) *

Scrub/Uniform Top Size (CNA course only)

Scrub/Uniform Pant Size (CNA course only)

Petite Pants (shorter inseam)YesNo

Emergency Contact Name *

Emergency Contact Phone *

How did you hear about Agape? *

Consent *

Yes, I agree with the Refund Policy, Media Policy, and Validation Policy.

Additional Message

Please do not fill in this field.

If you have any questions or issues please CONTACT US

Courses Available

APPLY/ENROLL

Cadillac Location

221 N Mitchell St
Cadillac, MI 49601
(231) 577-9885

Traverse City Location

10781 E Cherry Bend Rd
Traverse City, MI 49684
(231) 577-9885

Courses Available

Cadillac Location

Traverse City Location

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