MT student enrollment Please fill out this form and one of our staff members will be in touch soon. We can’t wait to meet you! Name(Required) First Last Email(Required) PhoneAddress(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What certification are you interested in?(Required)Choose BelowCNABLSCPRWhat type of schedule are you interested in?(Required)Choose BelowFull-Time Day (Available Now)Part-Time Day (Coming Soon)Part-Time Evening (Coming Soon)Online (Coming Soon)Anticipated Start Date? MM slash DD slash YYYY How Did You Find Out About Us?(Required)Please Select BelowFacebookWebsiteWord Of Mouth (Please indicate who referred you below)Flyer (Please indicate where below)Where Did You See Our Flyer?Who Referred You?I agree(Required) I acknowledge that submitting an application does not guarantee acceptance into the Nurse Assistant Program. DPHHS approved course and meets all state requirements for Certified Nurse Assistant (CNA) training.I agree(Required) I acknowledge that there is a non refundable fee of $200 dollars due at the time of your scheduled in-person enrollment appointment. This cost goes towards your tuition fee.By submitting this form this constitutes as acknowledgement of the $200 non refundable fee. Δ Please also fill out this skills assessment quiz. Thank you! Solve the following math problems and select your answer from the options provided:Name(Required) First Last Email(Required) Phone(Required)1.) 2.75 + .003 + .158 =(Required) A. 4.36 B. 2.911 C. 0.436 D. 2.938 2.) 7.86 × 4.6 =(Required) A. 36.156 B. 36.216 C. 351.56 D. 361.56 3.) 7 ÷ 20 =(Required) A. 0.035 B. 0.858 C. 0.35 D. 3.5 4.) 800 - 600 =(Required) A. 200 B. 400 C. 600 D. 500 5.) This fraction 7/10 is expressed or equivalent to which percent?(Required) A. 0.7 % B. 70% C. 1.42% D. 0.07% 6.) Alex runs a lemonade stand. On Monday, he sold 12 cups of lemonade, and on Tuesday, he sold 8 cups. How many cups of lemonade did Alex sell in total over the two days?(Required) A. 20 cups B. 18 cups C. 19 cups D. 16 cups Find the Meaning from the Text “The Velveteen Rabbit” is a story of a stuffed toy that is given to a little boy for Christmas. At first the rabbit is not played with very much. But later, the little boy finds he likes the rabbit best of all. Below is a paragraph from the beginning of the story. The Velveteen Rabbit by Margery Williams For a long time he lived in the toy cupboard or on the nursery floor. No one thought very much about him. He was naturally shy. Being only made of velveteen, some of the more expensive toys quite snubbed him. The mechanical toys were very superior and looked down upon everyone else. They were full of modern ideas, and they pretended they were real. The model boat, who had lived through two seasons and lost most of his paint, caught the tone from them. He never missed an opportunity of referring to his rigging in technical terms. The Rabbit could not claim to be a model of anything, for he didn’t know that real rabbits existed. He thought they were all stuffed with sawdust like himself. He understood that sawdust was quite out-of-date and should never be mentioned in modern circles.7.) Naturally(Required) Ignored Stuck up Chance Soft cloth Usually 8.) Velveteen(Required) Ignored Stuck up Chance Soft cloth Usually 9.) Snubbed(Required) Ignored Stuck up Chance Soft cloth Usually 10.) Superior(Required) Ignored Stuck up Chance Soft cloth Usually 11.) Opportunity(Required) Ignored Stuck up Chance Soft cloth Usually Δ