The Independence Center CNA Training Program Enrollment Application

(Sponsored Students)

This application form is to be used only for students who are being sponsored by a workforce agency.

Pikes Peak Workforce Center LogoIf you need help paying for tuition for the CNA certification, please contact the Pikes Peak Workforce Center first! You can reach them at 719.667.3791.

Please read the entire application and complete the information required below.

To apply for enrollment at The Independence Center (The IC) CNA Training Program, hereafter referred to as the “Program”, read the entire application, complete the requested information fields and provide a digital signature.

Please carefully review the Admission, Retention and Termination Policy document below.


Admission Retention Termination and Completion Policy for Review