APPLY/ENROLL -

Moodle (Online Class)
PayPortal
CNA Skill Review

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 CityPharmacy Tech National Exam Prep

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

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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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