Medication Administration Course 1st Choice Career Centers Application

Enrollment Agreement

Address

Which campus would you like to attend?

Main Campus – 4767 Northfield Rd, North Randall, Ohio 44128Cincinnati Campus – 8505 Reading Rd, Suite B, Cincinnati, Ohio 45215Niles / Warren / Youngstown Campus – 5836 Youngstown Warren Rd, Niles, Ohio 44446Columbus Campus – 3903 Great Southern Ct, Columbus, Ohio 43207

Personal Information

Are you a U.S. Citizen?

YesNo

Are you a re-entry student?

YesNo

Program Enrollment

I hereby acknowledge that I am enrolling in the following course

Medication Administration – Category 1Medication Administration – Category 2Medication Administration – Category 3

Program Information

Medication Administration Course
DODD Approved Program

Category 1 – 14 Hours
Category 2 – 4 Hours
Category 3 – 4 Hours

This course prepares students to safely administer medications in accordance with DODD guidelines.

Tuition and Fees

Category 1 Tuition: $150
Category 1 Renewal: $100

Category 2 Tuition: $100
Category 2 Renewal: $75

Category 3 Tuition: $100
Category 3 Renewal: $75

Payment Information

There is a 3 percent online processing fee added to online payments.
To register and receive upcoming schedule information, please text 216-310-5027.

Refund Policy and School Catalog

Refund Policy

School Catalog

I have read understand and agree to comply with 1st Choice Career Centers policies

I Agree

Offline Payment Options

Pay OnlinePay In Person

Student Signature

Parent or Guardian Signature If Applicable

Staff Only Below This Line

School Representative Signature

________________________________________

Date ________________________

Tuition __________
Registration Fee __________
Total __________

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