Admissions | CHN College Inc. of Winnipeg, Manitoba

Admission Interview Form

application form

CHN College Inc.

678 Main Street, Winnipeg, Manitoba. R3B 1E4 Phone: (204) 947-5237; Fax: (204) 947-5267
www.chncollege.com

Admission Interview Form – Health Care Aide Program

Step 1

Name

Address

Phone

Age

Highest Grade Achieved

Attach Transcript

Transcript

Transcript Attached?

Competency Assessment Successfully Completed?

Yes No

What goals and dreams have led you to apply for a career as a Health Care Aide?

What experiences have you had that have equipped you for this training and career?

What is your understanding of the possible jobs of a Health Care Aide?

Now please describe how you would be able to perform such jobs:

Step 2
Personal Information – Please fill in the following: PRIVACY GUARANTEE: CHN College Inc. keeps your information in strict confidence. We only use this information for contacting you regarding courses and events we feel you may be interested and will never release this information outside of our school.

First Name

Middle Name

Last Name

Phone 1

Phone 2

Address

City

Province

Postal Code:

How did you hear about us?

What is the best way to contact you?

What is the best time to contact you?

What would be your desired start date?

Comments/Questions:

Applicant’s Acknowledge

This is to acknowledge that the above information is correct)

Date of Interview

Contact

Social Media

Contact

Social Media

Admission Interview Form

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CHN College Inc.

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