PROGRAM
APPENDICES
Certified Nursing Assistant Program Information
Mission Statement Certified Nurse Assistant Programs
The mission of the Certified Nurse Assistant Programs is to provide higher education to students who are interested in pursuing post-secondary study in the nursing assistant field. It ensures the student both academic and clinical success and instills a zest for lifelong learning. We support students in their pursuit of their personal and professional goals to become productive members of the health care team.
The Certified Nursing Assistant Program is an eight week program consisting of a combination of classroom theory and lab (total of 130 hours) and 10 clinical days. Additional time at the completion of the program is allotted for testing for admission to the Connecticut Nurse Aide Registry. The clinical experience is in both Long-term care Geriatrics and Acute Care facilities. All rules and regulations of the affiliating clinical site must be followed. Four C.N.A. programs are offered throughout the school year at two locations. This program meets or exceeds the requirements of the Connecticut Department of Public Health for Certified Nurse’s Aide training and for the graduate to take the certification exam to be placed on the CT Nurse Aid Registry. Upon successful completion of the course, both theory and clinical, the student will be tested at the school site for entrance to the Registry. The student is required to have a textbook and a white uniform, shoes and watch with a sweep 2nd hand. The student is also required to provide their own transportation to and from the clinical sites.
Requirements:
1. H.S. Diploma/GED.
2. Current physical (within one year) including a record of Immunizations, seasonal flu vaccination and current TB test.
Transfer:
The CNA program does not accept transfers from CNA programs at other institutions. CNA students at the Technical High Schools can transfer to other adult programs upon meeting the entrance requirements for those programs, being in good standing and availability of space.
Attendance: In cases of extreme circumstances, missed clinical time can only be made up with
permission from the DH and availability of the clinical facility.
Theory:
Students are allowed to be absent 2 days of the program with make-up. Three days of absence will result in removal from the program. Each student will receive a “Notification Letter” from the Department Head (DH) at 2 days of absence to confirm that they have reached the maximum allowable number of absences. On the 3rd day of absence, the student will be sent a ‘Removal from Program’ letter. Removal from the program, based on attendance, may be appealed by the student. A letter requesting an appeal must be submitted to the DH within 3 school days of receipt of the removal letter. An appeals board meeting will be scheduled within 5 school days of the receipt of the request. During the appeal time, the student will remain in the program and must be present in school, all day, on time. The student must be present at the meeting, which will be held at the end of the student day. Any documentation the student has provided related to their absences will be reviewed at this time. The appeals board decision is final. A student may only appeal removal from the program based on attendance one time. If the student is reinstated after dismissal, the student may not be absent again during the course. If there is a further absence, the student will be removed from the program.
Excused Absences
Excused absences may be considered during an appeals process. Excused absences are limited to the following:
medical reasons which are verified by a physician and on letterhead;
death in the immediate family as verified by an obituary/death notice (maximum 3 days);
court appearances verified by official notification, and/or,
religious holidays.
Excused absences require documentation to be presented to the DH upon the first day of the students’ return to school. Failure to do so may result in the absence being considered unexcused. It is the student’s responsibility to seek remediation time with the DH in order to obtain all lessons and activities missed due to absence, late arrival or early departure.
Tardies/Early Dismissals
If a student is tardy* or has early dismissals (unexcused) 2 times during the course, the student will receive a progressive discipline write-up. If the student fails to follow the written plan and is tardy or leaves early 2 additional times, they will receive a second progressive discipline write-up and the Administration will be notified. If the student is tardy or leaves early an additional 2 times, they will be terminated from the program.
Any time/work missed due to tardies or early dismissal must be made up within 5 school days or by specific arrangement with the DH.
*Tardiness is defined as not being in your seat, in uniform, ready for report at designated class start time.
Evaluation:
1. The student must maintain a 70% grade average.
2. The student must be able to demonstrate satisfactory completion of all preliminary skills required by the curriculum before attending clinical.
3. The student must have a satisfactory Clinical Evaluation to complete the program.
4. The student must exhibit appropriate professional behaviors in both classroom and clinical settings as defined in the Adult(Post Graduate) Student Handbook.
A. Academic Warning: If a student is in jeopardy of failing stated academic
objectives, a Warning Notice is issued. The instructor will arrange a meeting with the student to establish objectives and timelines for remediation. A signed copy of the Warning Notice will be placed in the student’s file. Continued failure to meet academic objectives may result in termination from the program.
B. Clinical Warning: Students will be notified of their clinical progress by the
instructor. Students will be provided appropriate assistance in areas identified as needing improvement. If a student is in jeopardy of failing stated clinical/skill objectives, a Clinical/skill Warning Notice is issued. The instructor will arrange a meeting with the student to establish objectives and timelines for remediation. A signed copy of the Warning Notice will be placed in the student’s file. Continued failure to meet clinical/skill objectives may result in termination from the program.
C. Progressive Discipline: Students are responsible for monitoring their own
behavior in class and clinical settings. If a student’s behavior is inappropriate or unacceptable including but not limited to tardiness and/or leaving early, Progressive Discipline is initiated. The instructor will arrange a meeting with the student to establish what specific behaviors are inappropriate or unacceptable and a plan for alternate behaviors made as possible. A signed copy of the Progressive
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Discipline form will be placed in the student’s file. Continued failure to meet behavioral objectives may result in termination from the program.
All dismissals from this program are subject to an appeal process. All appeals must be made in writing to Central Office through the subject area consultant. Appeals will be referred to the Assistant Superintendent for Adult Education.
CERTIFIED NURSING ASSISTANT PROGRAM
I have read and understand the attendance policy and recognize the consequences for failing to comply with it.
Print Name _________________________ Signature_________________________ Date_______
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NOTE:
The forms in this section must be completed and
returned to the Department Head or Instructor.
CONNECTICUT TECHNICAL HIGH SCHOOL SYSTEM FULL-TIME ADULT STUDENT INFORMATION/FINANCIAL OBLIGATION
Program Resident/
Non-Resident
Tuition Registration Fees
(nonrefundable)
Payment Due Dates
New August 2015 Class Licensed Practical
Nurse
In-State Resident Total of $11,550
payable over three semesters ($3,850 per semester)
$50.00 Per program
Based on selected payment plan
New August 2015 Class Licensed Practical
Nurse
Non-State Resident Total of $23,772
payable over three semesters ($7,924 per semester)
$50.00 per program
Based on selected payment plan
Returning Aviation Resident Total of $6,576
payable over two years ($2,192 per installment) $50.00 per program August 2015 February 2016 New Aviation (December 2015) Resident Total of $6,576
payable over two years ($2,192 per installment) $50.00 Per program December 2015 **March 2016 **3rd Installment 2016-2017
Certified Nurse Assistant Not applicable $1,400
Per ten-week cohort
$50.00 per academic year
Date of first scheduled class
Dental Assistant Not applicable $3,710 payable over
two semesters ($1,855 per semester)
$50.00 per academic year
Date of first scheduled class Medical Assistant and Surgical Technology Not applicable $3,710 payable over two semesters ($1,855 per semester) $50.00 per academic year
Date of first scheduled class
Bristol T.E.C. Programs Automotive Technology; Culinary Arts; Electronics Technology; Heating, Ventilation and Air Conditioning; Manufacturing
Technology; Welding and Metal Fabrication; HVAC/R (2years)
Not applicable $3,710 payable over
two semesters ($1,855 per semester) $7,420 payable over four semesters ($1,855 per semester) $50.00 per academic year
$50.00
Date of first scheduled class
Date of first scheduled class each
semester
Tuition and Fees:
The tuition and fee schedule for 2015-2016 academic year as approved by the Connecticut State Board of Education are as follows:
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Acceptable Methods of Payment:
Bank check or money order made payable to Treasurer, State of Connecticut for the exact amount due;
Cash will be accepted in the school business office only during regular business hours (8:30 a.m. to 4:30 p.m.).
Unacceptable Methods of Payment:
Personal checks; Debit and credit cards;
Cash (except during normal business hours).
Other Financing Options (it is the responsibility of the student to initiate and follow-up on the methods listed below):
The CTHSS offers financing options including:
Tuition Waivers are available for veterans, students age 62 and over (subject to seat availability), and ONLY to students enrolled in the Certified Nurse Assistant program that are experiencing financial hardship;
Financial Aid: Students enrolled in a full-time program may apply for a federal Pell grant; Outside Agencies: Funding from other state agencies (i.e. Dept. of Labor, Office of the State
Comptroller);
G. I. Bill Veteran Education Benefits
** Any student failing to pay or be approved for an alternative financing option by the payment due date will be immediately dismissed from their program of study. As regular attendance is a critical aspect of the educational process, students with attendance problems may be dismissed from the program. **
Applying for a Tuition Waiver:
Eligible students wishing to apply for a tuition waiver must complete a Tuition Waiver Request form (available at http://www.cttech.org/AdultED/index.htm) no later than four weeks prior to the first class session.
Veterans requesting a tuition waiver must attach a copy of their Certificate of Release or Discharge (DD Form 214) (90 days of honorable active duty service in addition to that spent in active duty training and in attendance at military service academies for any war period after August 2, 1990 or engaged in combat or in combat support role in specific conflicts prior to August 2, 1990);
Senior Citizens: Students age 62 and over requesting a waiver must attach a copy of their proof of age;
Students receiving educational assistance benefits under the G. I. Bill from the Veterans Administration must submit enrollment verification or training agreement. The student should provide the school Certification Officer, VA Form 22-1999 for submission to the Veterans Administration to receive the education benefits payment from VA;
If a student is denied tuition waiver, all tuition and fees are due by the next class session.
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Applying for a Pell Grant:
Admitted students must complete the Free Application for Federal Student Aid (FAFSA). It is recommended that the student completes the FAFSA after completion and submission of the 2014 IRS Tax Return in order to avoid delay and having to go back to change information or making corrections. The completion and submission of 2014 IRS tax return will allow the student and/or parent(s) to use the IRS data retrieval tool when prompted during the FAFSA completion and will provide accurate financial information and therefore expedite the award process.
Admitted students must submit a valid Student Aid Report (SAR) and complete a CTHSS
Financial Aid Application Packet available from the school’s Adult Education clerk;
The CTHSS deadline for applying for a Pell grant for the 2015-2016 academic year is as follows:
o LPN – July 22, 2015;
o All other full-time programs – August 3, 2015;
o New Aviation starting December 2015 – after official acceptance into the program by October 30, 2015;
*Applicants applying and accepted for a program after the specified deadlines can still apply for a Pell grant; however students will need to initiate tuition payments until determined eligible and Pell grant has been awarded.*
If a student is deemed ineligible for financial aid, outstanding tuition is due five days following receipt of the denial notification;
If a student is notified that their financial aid award will not cover the entire semester tuition cost, all tuition and fees are due five days following receipt of the award notice or by the regular tuition deadline, whichever is later;
The federal government randomly selects Pell grant applications for verification. If your application is selected for verification, you will be notified by the Financial Aid Administration and additional supporting documentation must be submitted by the specified deadline.
Procedures for Withdrawal:
In order to officially withdraw form an adult education program in the CTHSS and be considered for a tuition refund, candidates must complete and submit to the school’s Guidance Office, the following two documents available from the district’s Adult Education webpage www.cttech.org/AdultED:
3. Student Withdrawal Form
4. Request for Tuition Refund Form (Appendix IX)
Upon approval of the Student Withdrawal Form by a school administrator (principal or assistant principal), students may be eligible for a tuition refund.
Eligibility for Tuition Refunds:
Except for withdrawal due to military action or serious illness, if the Student Withdrawal Form is received from the student prior to the first scheduled class session, the student is eligible for a 100% tuition refund;
Except for withdrawal due to military action or serious illness. If the Student Withdrawal Form is received from the student after the first scheduled class session, but prior to the fourteenth (14th) calendar day from the first scheduled class session, the student is eligible for a 60% tuition refund;
Except for withdrawal due to military action or serious illness, if a Student Withdrawal Form is received after the fourteenth (14th) calendar day from the first scheduled class session, the student is not eligible for a tuition refund;
All requests for tuition refunds due to military action and supported by written documentation from the military are eligible for 100% tuition reimbursement;
All requests for tuition refunds due to serious illness and supported by written documentation from a medical professional are also eligible for 100% tuition reimbursement;
Except for military action or serious illness, no refunds will be provided to students who are dismissed from their program of study due to issues with attendance, unsatisfactory educational performance or violation of the district’s discipline policy as detailed in the 2015-2016 Full-time Adult Student Handbook.
Processing of Tuition Refunds (only for students tuition who had paid out-of-pocket. Pell Grant
recipients will be processed through the Post-Withdrawal calculation to determine earned funds and refundable funds to the federal government):
If the student meets the eligibility requirements for a tuition refund, the Request for Tuition Refund Form (Appendix IX) completed by the student will be forwarded from the school administrator to the school’s business office and then to the State Department of Education’s (DOE) Payments Unit. The SDE Payments Unit will then issue a state invoice utilizing the State of Connecticut’s official accounting system (CORE-CT) and transmits the invoice to the State Comptroller for issuance of a refund check payable to the student within the state’s payment timelines (currently net 45 days).
I have read and understand the above:
_____________________________________ _________________________________ _______
Student Signature Print Name Date
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CONNECTICUT STATE DEPARTMENT OF EDUCATION
Technical High School System
ADULT EDUCATION
Student Withdrawal Form
Last Name: _________________________ First Name: __________________ M. I. _________
Street Address: ___________________________ Apt. No. ________ P. O. Box _____________
Town: ______________________________________ State: ________ Zip Code: _________
School Name:__________________________ Shop: __________________________________
Reason for withdrawal:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Student signature: ______________________________________________ Date:_________
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TO BE COMPLETED BY GUIDANCE STAFF
Official withdrawal code: _________________
Official withdrawal date: __________________
Guidance staff signature: ______________________________________ Date: ______________
Official grade at time of withdrawal: ___________________
Copies of the completed form must be sent to a School Administrator and to Central Office,
Attn: Financial Aid Administrator.
Withdrawal can be rescinded within a reasonable time.
4 B B B A BStudent Acknowledgement/Agreement
FULL-TIME ADULT STUDENT HANDBOOK
This form must be completed, detached from the handbook and submitted to your instructor to be filed in the student’s permanent record file.
Student Name (printed) _______________________________ Program Area ___________________ I HAVE READ, UNDERSTAND and WILL COMPLY WITH THE RULES AND REGULATIONS AS STATED IN THIS HANDBOOK:
STUDENT SIGNATURE ______________________________ ___ DATE ______________________
Discipline Policy and Substance Abuse Policy
I understand the responsibilities outlined in the Discipline Policy and Substance Abuse policy. I also understand that should I violate either policy I shall be subject to disciplinary action, up to or including expulsion from school and/or referral to law enforcement officials, for violation of the law.
Attendance Policy
I understand that regular attendance is the responsibility of the student and is a critical aspect of the educational process. I also understand the credit denial policy. I further understand that I may make a written request for review within three school days following receipt of notification of denial of credit. Education Records
Regarding education records, I understand that certain personally identifiable information is considered directory information and does not require a signed release for disclosure. I understand that unless I deny the release of any or all of this information within 10 school days of the date this student handbook was issued, directory information may be released. I also understand that I have a right to inspect and review all of my student records.
I acknowledge that I have reviewed the above.
________________________ _________________
Student Signature Date
Permission to Publish My Photographic or Video Image
I do hereby certify, acknowledge, authorize and give consent to the Connecticut Technical High School System (CTHSS) to publish my photographic or video image, at its discretion, in school newsletters, newspapers, in TV or video coverage or in any related printed, electronic and/or video publications. It is my understanding that my photographic or video image shall only be used for informational and publicity activities conducted by the CTHSS and shall not be used for any commercial purposes.
_________________________ __________________
Student Signature Date
Please sign below ONLY IF you DO NOT grant permission.
I do not grant permission for the release of directory information without my prior consent.
_____________________________ ____________
Student Signature Date
I do not grant permission for the use of photographic or video images of me to be used by the Connecticut Technical High School System.
_____________________________ _____________
Student Signature Date
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Progressive Discipline Form
1st Offense “Cite Handbook” ________________________________________________________________________ Student Name ______________________________________________________________________________________ Student’s statement of incident (includes date, place)
______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Instructor’s statement of incident
_______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Interventions _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Student Signature______________________________________ Instructor Signature __________________________________ ******************************************************************************************
2st Offense “Cite Handbook” ________________________________________________________________________________ Student Name ____________________________________ Date ______________ Referring Instructor ____________________ Student’s statement of incident (includes date, place)
_______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Instructor’s statement of incident
_______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Interventions _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Student Signature__________________________________________ DH Signature ____________________________________ ******************************************************************************************
3st Offense “Cite Handbook” ________________________________________________________________________________ Student Name ______________________________________ Date ______________ DH __________________________________ Student’s statement of incident (includes date, place)
_______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Instructor’s statement of incident
_______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Interventions _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Student Signature_______________________________________ DH Signature ________________________________________ AP Signature ____________________________________________Outcome ___________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Student File C B B