Certified Medical Assistant Class Interest Form

Thank you for your interest in a Certified Medical course through Bismarck State College. Please use the form below to submit your contact information. 
Contact Information
A current Certified Nursing Assistant license is strongly recommended prior to taking the CMA course. Please indicate below your status:
I am interested in attending class:
To complete the CMA course, you will need proof of immunization for the following:
-  Varicella (Chickenpox)
-  Measles, Mumps, Rubella
-  Tuberculosis
-  Influenza
-  Hepatitis B Series (optional with a signed waiver)
-  COVID-19 vaccination status must be disclosed due to federal reporting requirements of clinical facilities. Vaccination is optional, however, it may be required based on clinical facility placement.  

Please indicate if you understand this requirement.
Completing this form does not mean you are registered for the course, but it will provide a means of communication when more course details are in place.
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