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Welcome to
Hawaii Institute of Healthcare and Training Services.

Hawaii Institute of Healthcare & Training Services

NOTE: Deposit of $200.00 needs to be paid to save your seat. Application without deposit will not hold your seat.

WIA APPROVED

Workforce Investment Act

HIHTS wants to help you get back into the work force by offering a

5% off special

if you sign up for a class and bring in

your most recent unemployment check stub!!

Call for details 933.1295

Hilo

Hawaii

Click below to send us your application online, remember to click the submit button.

Through TFC your program can be paid off in a longer period of time.

See registrar for details.

NHA National Certification for Phlebotomy,

Medical Administrative, and Medical Billing courses.

Regional Testing Center for CNA'S approved by PROMETRIC

Hawaii Institute of Healthcare & Training Services (HIHTS)
Professional Nurse Assistant Training Program
PO Box 395
Hilo, Hawaii 96721
Tel.: (808) 933-1295  or (808) 933-1266     Fax: (808) 933-2722
Email: hihts@live.com   Website: www.hihts.net
NOTE: Deposit of $200.00 needs to be paid to save your seat. Application without deposit will not hold your seat.

APPLICATION FOR (PICK ONE)  
(  ) Nursing Assistant  (  ) Med Administrative  (  ) Phlebotomy  (  )  Medical Billing

(   )  Hilo  ( x by month)  JAN  FEB  MAR  APR  MAY JUN  JUL  AUG  SEP  OCT  NOV DEC

Name:

Address:

Home Phone:  
   
Cell Phone

Work Phone
 
Birthday

Email (please print)

Are you 18 years age or older? [  ]Yes          [  ]No  
        
What languages do you speak? 
                                                                    
U.S. Citizen?  [  ]Yes  [  ]No     Alien/Green Card? [  ] Yes   [  ] No   Alien Card #:

How did you hear about Hawaii Institute  of Healthcare and Training Services?_

Have you ever been convicted of a crime or had traffic violation(s) by any court?
[  ] Yes      [  ] No  
(If Yes, please explain nature of the incident and current status)

If applicable, will you be able to provide letters from your probation officer?   
( ) Yes ( ) No

If  Applicable, will you be able to provide at least three (3) letters of recommendation?
( ) yes ( ) no

Emergency Contact Person:  
Phone: 
Address:

NON-REFUNDABLE PRE –REGISTRATION FEE:  $200.00 including in the tuition cost.

Questions: PLEASE CALL: 933-1295