Nurse Aide Application

Thank you for your interest in the Nurse Aide program. A career as a Nurse Aide is rewarding for compassionate individuals who enjoy caring for people. The job may be demanding, but the satisfaction from helping patients feel comfortable and loved can also be very emotionally rewarding.

BASIC ADMISSIONS REQUIREMENTS:
• Must be 16 years old or older to apply
• Must have valid PA Driver’s License or State Photo ID
• No HS Diploma required!

READY TO START?

Step 1

Download the Nurse Aide Program Application

Download Application

Step 2

Submit the completed application PLUS the following forms to:

Vickie Hake
Practical Nursing Program Administrative Assistant
Email: vhake@ytech.edu
Phone: (717) 747-2135

Verification of Residency for Enrollment into a Nurse Aide Training Program

Download Verification

PA State Police Report

Download Police Report

FBI Report
(*if you have lived outside of Pennsylvania within the past two (2) years prior to entering the Nurse Aide program*)

Download FBI Report

Attestation of Compliance with PA Act 14
– Nurse Aide Resident Abuse Prevention Training Act

Download Attestation

Health Form – Nurse Aide Training Program
(see form for specific requirements)

Download Health Form