LNC EDUCATIONAL CENTER
7810 BALLANTYNE COMMONS PARKWAY, #300
CHARLOTTE, NORTH CAROLINA 28277

PHONE: 704-319-5516 / FAX: 704-319-2250 / EMAIL: information@lnccenter.com

RN AUDITOR- HEALTH COMPLIANCE CERTIFICATION PROGRAM APPLICATION

 

Name: ______________________________________ Date: _________________

Address: ___________________________________________________________

City: ______________________________State___________ Zip: _____________

E-Mail Address: ____________________________ Phone: _________________
Necessary for examination purposes only.
Nursing License: _________ License in good standing w/Board of Nursing?: Yes 0 No 0

Nursing Specialty (or Area of Practice): __________________________________

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RN AUDITOR- HEALTHCARE COMPLIANCE CERTIFICATION PROGRAM

RNA Certification ___ $950
RNA Certification Exam Fee ___ $275
Exams fees must be paid prior to commencing program.
____________________________________________________________________________

HOMEBASED DVD /Email Program ______ Must be completed in 6 weeks.

CANCELLATION POLICY: Full refund (minus $100 Registration Fee) with 7 or more days notice. IF CANCELLATION OCCURS 6 DAYS OR LESS, YOU MAY RECEIVE FULL TUITION CREDIT TOWARDS A FUTURE PROGRAM OFFERED, NO MONIES WILL BE REFUNDED.

All Home Based Programs require 100% tuition payment plus shipping and handling prior to start of program. RNA Home based students may also transfer to class training, with a small transfer fee, if available. Upon receipt of any LNC program materials, to protect LNC Center proprietary information, there will be no refunds.  You may, however, receive a full credit towards a classroom session.

 

_______ I have read the above and agree to the terms. To the best of my knowledge all answers above are correct and true.

Signature__________________________________________________________________________

 

Payment enclosed:_____________


All applications and deposit checks must be mailed to: LNC Educational Center, (address above) or credit card payment is available online from our website at the Online Payments page. Please telephone us (704) 243-0466 if assistance is needed TO PROCESS PAYMENT ON THE TELEPHONE.