Continuing Education Enrollment Agreement Sample Contracts

Fair Housing Training April 9 or 10, 2019
Continuing Education Enrollment Agreement • March 13th, 2019

contact info@pahma.org for assistance with payment by credit card … you must still complete and submit this enrollment form

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CONTINUING EDUCATION ENROLLMENT AGREEMENT
Continuing Education Enrollment Agreement • April 19th, 2022

Check Course of Enrollment Title and Lengthof Educational Courses *Total Due CPR/BLS for Healthcare Provider- 4 HoursRequired for all Continuing Education Courses Infection Control - 8 Hours-Required for all Continuing Education CoursesDental Practice Act – 2 Hours OSHA– 2 Hours Radiation Health and Safety – 32 HoursRequires CPR/BLS and 8hrs Infection Control Coronal Polishing Course – 16 HoursRequires CPR/BLS and 8hrs Infection Control Pit and Fissure Sealant – 16 HoursRequires CPR/BLS, 8hrs Infection Control and Coronal Polishing Course Registered Dental Assistant (RDA) Written Review – 14 Hours**Borrowing of a book: If you choose, you can borrow a school owned book (there is no charge to borrow the book) however, the book must be returned the same day of the training (Undamaged). If you fail to return the book you will be charged a fee of$250.00. Students borrowing a book must leave a credit card on file; with a signed authorization to make the charge in

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