Thank you for your interest in the upcoming noncredit Certified Nursing Assistant (CNA) Program at the Center for Community and Professional Education at Cape Cod Community College. The program is currently in development. Please complete this form to be added to our interest list, and we will contact you with updates on enrollment and program details.

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* 1. Full Name

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* 3. Phone (Optional - If you'd like to receive text updates)

Country Code
Phone number

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* 4. Preferred Contact Method (Multiple choice - single answer required)

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* 5. Do you have a high school diploma or GED? (Multiple choice - single answer required)

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* 6. Do you have any prior healthcare experience?

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* 7. Preferred Class Schedule (Multiple choice - select all that apply)

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* 8. When would you like to start the program (Multiple choice - select all that apply)

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* 9. Is English your native language? If you are in need of english language support for this program, we will be contacting you soon to schedule a free ESL (English as a Second Language) assessment as the next step in the process.

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* 10. Do you have any specific questions about the program?

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* 11. Would you like to receive updates about other healthcare training programs at Cape Cod Community College?