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CMA II Class Interest Form

Thank you for your interest in a Certified Medication Assistant II course through Bismarck State College. Please use the form below to submit your contact information.

Contact Information

First Name

Last Name

Phone

Email Address

Mailing Address

City

State

Zip Code

A current Certified Nursing Assistant license is required prior to taking the CMA II course. Please indicate below your status -

I am an active CNA

I have a CNA license

I am interested in CNA training also

I am interested in attending class:

Next Available

Spring

Summer

Fall

To complete the CMA II course, you will need your seasonal flu vaccine. COVID-19 vaccinations are not currently required, but you must disclose your vaccination status. Please confirm below if you understand or need more information.

Yes

Completing this form does not lock you into course registration, but will provide a means of communication when more course details are in place.