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Southern Union State Community College NURSING ASSISTING CLASS REGISTRATION/PAYMENT FORM Training for Workforce Development NAME: SN/SSN: (Last) (First) (Middle) MAILING ADDRESS: (House/Apt. #, Street)

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What is nursing assistant registration/payment form?

The nursing assistant registration/payment form is a document used to register as a nursing assistant and to submit payment for the registration.

Who is required to file nursing assistant registration/payment form?

Anyone wishing to work as a nursing assistant is required to file the registration/payment form.

How to fill out nursing assistant registration/payment form?

To fill out the nursing assistant registration/payment form, you must provide personal information, educational background, and payment details.

What is the purpose of nursing assistant registration/payment form?

The purpose of the nursing assistant registration/payment form is to register individuals as nursing assistants and collect the necessary fees for registration.

What information must be reported on nursing assistant registration/payment form?

You must report personal information, educational background, and payment details on the nursing assistant registration/payment form.

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