I certify that the information I have provided are true and complete to the best of my knowledge and understand that all information will be used by ASNAH to determine my qualification for admission.
I understand that any false, misleading or incomplete answer, statement or implication made by me in connection with this application or the application process, or any failure to disclose any relevant information, shall result in the denial and/or revocation of admission to ASNAH, including dismissal from ASNAH if matriculated and may lead to future denial and or revocation of licensure as a Nursing Assistant of Nursing Aide.
I hereby give permission to ASNAH to investigate my personal, criminal, and educational and employment background and history and to contact persons, organizations, institutions or government agencies who may have knowledge of me.
In consideration of ASNAH reviewing my application, and intending to be legally bond, I hereby release ASNAH subsidiaries, affiliates, trustees, officers, employees and agents (collectively hereafter referred to as ASNAH) from any and all claims or liability, known or unknown , arising from ASNAH investigating my background and all persons, organizations, institutions or government agencies supplies such information.
Finally, it is my understanding that I shall not be considered for to ASNAH until I have submitted credentials and otherwise satisfied all requirements for a timely and complete application for admission. I further understand that an application which satisfies all application requirements is not guaranteed admission in ASNAH program(s). I agree to inform ASNAH with any changes in the information I provided on this application otherwise in connection with application process. If ASNAH offers me admission and I decide to graduate, I agree to comply with any and all policies, rules and regulations, as amended from time to time. ASNAH does not discriminate on the basis of age, race, religion, gender, sexual orientation, national origin, disability or veteran in its programs and activities.