PCA Program Application

Students interested in enrolling in the Personal Care Aide course should fill out the application form below. You will be provided with a payment link after your application has been submitted. The 40-hour PCA course is taken completely online, and the course tuition is $300. The tuition is non-refundable and can also be paid here.

ATTN: You must be over 16 years old to submit this application form.

 

Personal Information

Please enter the name of cardholder who will be paying for the course
Are you over 16 years old? *

Referred By

Personal Statement *