CNA Program Document Submission
  • Certified Nursing Assistant Certificate Program Document Submission

  • The Certified Nursing Assistant’s role as taught at CCC will focus on the adult population, which covers the basic concepts required to become a member of the health care team in long-term and acute care settings. These courses will prepare students to take the knowledge and skills examinations for the Arizona State board of Nursing (AZBN) and apply for an LNA license.


    As part of the licensing process for licenses through AZBN and proof of legal presence (for CNA and LNA) are required and a background check with AZBN (only for LNA). Furthermore, if a person has been convicted of a felony, the person is not eligible to apply for licensure or certification with the AZ Board of Nursing until 3 years after the “absolute discharge” of the sentence. Please visit azbn.gov for more information.


    CCC’s Certified Nursing Assistant Certificate Program consists of the following courses:

    • NUR 110, Nursing Assistant I
      • 6 hours per week of class/skills lab, 4 credits (letter grade), in-person
    • NUR 111, Nursing Assistant Clinical
      • 40 hours of total clinical time, 1 credit (letter grade), in-person
      • Students must have a grade of 75% or more in NUR 110 to attend clinical.
    • AHS 131, Medical Terminology I
      • This can be taken as a co-requsite online course


    Tuition/textbooks for NUR 110 and NUR 111 is $865. Tuition/textbooks for AHS 131 is $339. Additional costs associated with the CNA program can be found on the CNA webpage

     

    Documents required:


    All documents should be uploaded to this form or brought to the Fourth Street registration desk. Documents will be reviewed by the nursing department, and if they satisfy the requirements listed below, then an override will be provided to allow the student to register. All records must remain valid and cannot expire prior to the end of the semester. Students must be approved to register for the CNA courses.

     

    Non-Academic Record

    1. Government Issued ID card (driver's license)
    2. Proof of COVID vaccine
      1. 2 doses of Moderna and Pfizer, 1 dose of Johnson & Johnson, or 1 dose of bivalent (if given after 9/1/2022) -- boosters not required.
    3. Evidence of a negative TB test that is current 
      1. TB tests expire 1 year from the date it was read
      2. Students have the option of one of the following:
        1. Fall and Spring only: Provide payment of $25 for a TB skin test at the time of registration (TB skin test will be placed and read during class time) OR
        2. Provide a TB test at the time of registration that contains the following: TB skin test report must include the following information:
          1. Date the skin test was placed
          2. Date the skin test was read (48-72 hours after placement)
          3. Number of mm of induration, and whether read as “negative” or “positive”)
        3. If a blood test is needed, it is the student’s responsibility to provide the test results at the time of registration.
    4. Proof of 2 MMR (Measles, Mumps, Rubella) vaccines or positive titer read by a healthcare provider
    5. Proof of 2 Varicella (chicken pox) vaccines or positive titer read by a healthcare provider
    6. Tdap within the past 10 years*
      1. A Td or DTaP is not accepted
    7. Flu shot for the current flu season from August 15 - April 30.
    8. Current American Heart Association (AHA) BLS Provider CPR certification card*
      1. The AHA BLS Provider CPR is the only acceptable CPR certification.
      2. Fall and Spring only: Students can earn their BLS certification card during class, covered in the cost of tuition. If the student does not pass the training, it is the student’s responsibility to find an alternate course (and cover the cost) to be able to attend clinical.
    9. Arizona DPS Level 1 Fingerprint Clearance card (non-IVP)*
      1. Visit the AZ DPS website to obtain a fingerprint clearance card.
    10. 10 or 12 panel urine drug screen
      1. Summer 3-Week and 6-Week AP due at registration; Fall/Spring instructor provides due date
    11. Starting Fall 2026: Functional Abilities Statement Form signed by a healthcare provider (form on the CNA Information webpage)
    12. Starting Fall 2026: Criminal Background Check (not required upon registration)
      1. Instructions will be given during the first week of class. The cost is $34.25 which will be the student’s responsibility.

     

    *These records must remain valid and cannot expire prior to the end of the semester.

     

    Academic Records

    1. ENG 098 or placement test score beyond prerequisite course
      1. Upload an unofficial transcript showing that ENG 098 or higher has been successfully completed or a copy of your Accuplacer test results.
    2. MAT 088 or placement test score bey beyond prerequisite course
      1. Upload an unofficial transcript showing that MAT 088 or higher has been successfully completed or a copy of your Accuplacer test results.
    3. Medical Terminology I
      1. AHS 131 or equivalent course is required as either a pre-requisite or co-requisite; if you have not taken medical terminology then you must enroll in AHS 131 at the same time as NUR 110 and NUR 111.

     

    Fall or Spring only: Please be aware that a 10 or 12 Panel Urine Drug screen will also be due within 60 days before attending clinical (the specific due date will be provided to you by your instructor on your first day of class.)

  • CNA Certificate Program Application

  • Format: (000) 000-0000.
  • Please select the course length for which you are submitting documents:*
  • Are you a CAVIAT or TANF student, or uploading on behalf of a CAVIAT or TANF student?*
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  • Health Records

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  • Which files are included in your Immunization Document uploaded above? Every file not included will need to be uploaded separately below.*
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  • 10. 10 or 12 panel urine drug screen upload not required for Fall/Spring

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  • Academic Prerequisites

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  • Which files are included in your Academic Transcripts uploaded above? Every file not included will need to be uploaded separately below.*
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  • Please select the verification form you are uploading*
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  • I certify that all the information provided by me is true, complete, and accurate. I acknowledge that I have read and understand the requirements for the CCC Certified Nursing Assistant Certificate Program Application and have only used the information published on the CCC CNA Information Webpage. Falsification or omission of pertinent data on the application will forfeit admission to the Certified Nursing Assistant Certificate Program. I acknowledge that admission to the program is conditional until I have officially received an acceptance letter and fulfilled all the health requirements set forth by the Nursing Program. Failure to complete this application will result in invalidation of the application, and it will not be reviewed for admission.

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