{"id":77,"date":"2026-10-27T15:02:04","date_gmt":"2026-10-27T19:02:04","guid":{"rendered":"https:\/\/staging.healthuptraining.com\/index.php\/enrollment-application\/"},"modified":"2026-10-27T15:02:04","modified_gmt":"2026-10-27T19:02:04","slug":"enrollment-application","status":"publish","type":"page","link":"https:\/\/staging.healthuptraining.com\/index.php\/enrollment-application\/","title":{"rendered":"Healthcare Program Enrollment Application"},"content":{"rendered":"        <section class=\"hut-registration\">\n          <div class=\"hut-kicker\">Health Up Training &amp; Services<\/div>\n          <h2>In-Person Program Registration<\/h2>\n          <p>Choose a program and enter your registration details. Applications are accepted year-round. The system assigns an approved upcoming class only when confirmed dates and capacity are available; otherwise Admissions will follow up without promising a seat or start date.<\/p>\n                      <div class=\"hut-notice\"><strong>Administrative\/Registration Fee:<\/strong> The $100 Administrative\/Registration Fee is credited dollar-for-dollar toward total tuition and does not increase the advertised program cost. When paid before class assignment, payment does not guarantee placement in a particular class. Admissions will confirm class availability and enrollment next steps. Approved funding waivers remain available where applicable.<\/div>\n                              <form id=\"hut-registration-form\" method=\"post\" action=\"https:\/\/staging.healthuptraining.com\/wp-admin\/admin-post.php\">\n            <input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"159d91dfc6\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/77\" \/>            <input type=\"hidden\" name=\"action\" value=\"hut_submit_application\"><input type=\"hidden\" name=\"track\" value=\"in_person\">\n            <input type=\"hidden\" name=\"submission_key\" value=\"4eb72373-1ff1-46ed-9343-7fd4cc922329\"><input type=\"hidden\" name=\"submission_signature\" value=\"f951a4b4ea0bcba9098fdf58a32e27e500d928330f51c2b6eea2dcdcb160c5ee\">\n            <div class=\"hut-grid\"><label>First name<input required name=\"first_name\" autocomplete=\"given-name\"><\/label><label>Last name<input required name=\"last_name\" autocomplete=\"family-name\"><\/label><label>Email<input required type=\"email\" name=\"email\" autocomplete=\"email\"><\/label><label>Phone<input required type=\"tel\" name=\"phone\" autocomplete=\"tel\"><\/label><\/div>\n            <label>Mailing address<textarea required name=\"address\" rows=\"3\" autocomplete=\"street-address\"><\/textarea><\/label>\n                        <label>Program<select required name=\"enrollment_choice\"><option value=\"\">Choose a program<\/option><option value=\"medical_assistant:morning\">Medical Assistant \u2014 Morning \u2014 Monday\u2013Thursday, 9:00 AM\u20133:00 PM<\/option><option value=\"patient_care_technician:evening\">Patient Care Technician \u2014 Evening \u2014 Monday\u2013Thursday, 4:00 PM\u20139:00 PM<\/option><option value=\"phlebotomy_technician:morning\">Phlebotomy Technician \u2014 Morning \u2014 Monday\u2013Thursday, 9:00 AM\u20133:00 PM<\/option><option value=\"phlebotomy_technician:evening\">Phlebotomy Technician \u2014 Evening \u2014 Monday\u2013Thursday, 4:00 PM\u20139:00 PM<\/option><option value=\"phlebotomy_technician:weekend\">Phlebotomy Technician \u2014 Weekend \u2014 Friday &amp; Saturday, 9:00 AM\u20133:00 PM<\/option><option value=\"chha:general\">Certified Home Health Aide (CHHA)<\/option><option value=\"ekg_technician:general\">EKG Technician<\/option><option value=\"cna:general\">Certified Nursing Assistant (CNA)<\/option><option value=\"cpr:general\">CPR\/BLS<\/option><\/select><\/label>\n            <div class=\"hut-notice hut-notice--compact\"><strong>Continuous Registration:<\/strong> Applications for approved programs are accepted year-round. Admissions will provide information about upcoming classes and enrollment next steps.<\/div>\n            <div class=\"hut-notice hut-notice--compact\"><strong>Registration fee disclosure:<\/strong> Where permitted for the selected program, the $100 Administrative\/Registration Fee may be paid before class assignment and is applied toward tuition. Payment does not guarantee placement in a particular class. The approved enrollment agreement, refund policy, and applicable New Jersey requirements control.<\/div>\n                        <div class=\"hut-notice hut-notice--compact\"><strong>Payment Options:<\/strong> Students may choose to pay tuition in full or through our convenient four-payment plan once their enrollment is approved.<\/div>\n            <div class=\"hut-notice\"><strong>Costs not included:<\/strong> Required uniforms, textbooks, and certification examination fees (including NHA fees). No separate supply charge will be added unless listed in an approved program document.<\/div>\n            <label class=\"hut-check\"><input type=\"checkbox\" required name=\"terms_ack\" value=\"1\"><span>I have reviewed and agree to the applicable Health Up Training &amp; Services Enrollment Terms &amp; Conditions. I understand that the signed Enrollment Agreement and approved School Catalog are the controlling documents if they conflict with these website terms.<\/span><\/label>\n            <label>Type your full legal name as your electronic signature<input required name=\"signature_name\"><\/label>\n            <button type=\"submit\" data-hut-submit>Continue to Review &amp; Payment<\/button>\n          <\/form>\n          <script>(function(){var f=document.getElementById('hut-registration-form');if(!f)return;var k=f.querySelector('[name=\"submission_key\"]'),s=f.querySelector('[name=\"submission_signature\"]'),b=f.querySelector('[data-hut-submit]');try{var u=new URL(window.location.href);if(k&&s&&(u.searchParams.get('hut_submission')!==k.value||u.searchParams.get('hut_submission_signature')!==s.value)){u.searchParams.set('hut_submission',k.value);u.searchParams.set('hut_submission_signature',s.value);window.history.replaceState(null,'',u.toString());}}catch(ignore){}f.addEventListener('submit',function(e){if(f.dataset.submitting==='1'){e.preventDefault();return;}if(!f.checkValidity())return;f.dataset.submitting='1';if(b){b.disabled=true;b.setAttribute('aria-disabled','true');b.textContent='Please wait\u2026';}});}());<\/script>\n                  <\/section>\n        \n","protected":false},"excerpt":{"rendered":"","protected":false},"author":0,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-77","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/staging.healthuptraining.com\/index.php\/wp-json\/wp\/v2\/pages\/77","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/staging.healthuptraining.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/staging.healthuptraining.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"replies":[{"embeddable":true,"href":"https:\/\/staging.healthuptraining.com\/index.php\/wp-json\/wp\/v2\/comments?post=77"}],"version-history":[{"count":0,"href":"https:\/\/staging.healthuptraining.com\/index.php\/wp-json\/wp\/v2\/pages\/77\/revisions"}],"wp:attachment":[{"href":"https:\/\/staging.healthuptraining.com\/index.php\/wp-json\/wp\/v2\/media?parent=77"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}