Southfield Campus: 20245 W 12 Mile Rd. Suite 217, Southfield, MI 48076 | (248) 828-6562
Flint Campus: 3710 Davison Road, Flint, MI 48506 | (810) 265-7753

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All students must be 18 years of age or older by the scheduled start date of first course.

Serenity Health Training Institute is committed to being a welcoming and diverse community of students, faculty, and staff. Serenity Health Training Institute admits students to its programs of study regardless of age, color, gender, sexual orientation or preference, national or ethnic origin, citizenship status, or disability. Serenity Health Training Institute does not discriminate on the basis of any of these in the administration of its educational priorities, admission, policies, or other programs administered by the school. By choosing not to answer the question below, your admission chances are not deferred in any way. Serenity Health Training Institute uses this information below solely for data about our student population in order to better understand the needs of our students.

Note: The Practical Nurse Program of study require a high school diploma, General Education Degree, or equivalent, TEAS test score of 40 or above, Criminal background check, drug screening, Physical exam, CPR BLS certification, a mandatory COVID 19 vaccine and a panel interview. This is program has a drug, substance abuse, alcohol policy with a zero tolerance or no usage before coming to school or during school or clinical externships.
( ) Practical Nurse Program ($26,999)

• I must have a physical exam performed by a doctor or NP and submit that Health Appraisal Form with this application.
• I must submit two favorable letters of recommendations (not from family) with this application.
• I must show up to class prepared. Students, who are under the influence of alcohol, marijuana, illicit drugs, illicit prescription drugs, or any other mind or body-altering substances cannot participate in during my duration as a nursing student.
• Serenity Health Training Institute is a firearm-free campus and possession of a firearm will result in my immediate expulsion with no tuition refund regardless of the number of courses taken.
• Serenity Health Training Institute is a smoke-free, vape-free campus and I will not partake in this action on Serenity Health Training Institute property nor our clinical affiliates sites.
• Disruptive behavior, vulgar language, bullying or inappropriate attire will not be tolerated during class and/or on any Serenity Health Training Institute campus. If after a warning from an instructor or other Serenity Health Training Institute staff member the offense continues, I may be asked to leave class without the possible option to return. In this case, no refunds will be given.
• Food is not allowed in class unless otherwise specified by the course instructor or requested for medical needs by the student.
• I understand the risks associated with drawing blood and I am aware that training procedures in class will be performed on fellow students, volunteers, staff, and myself upon consent at Serenity Health Training Institute.
• I understand that any injury sustained to me or the person I am performing any class assignments/hands-on training on is solely my responsibility and will hold Serenity Health Training Institute harmless in the event of injury.
• Tampering with medical equipment is strictly prohibited and if I am found of doing so, I will be immediately expelled from Serenity Health Training Institute with no tuition refund regardless of the number of courses taken. If deemed necessary, further legal action may be taken by Serenity Health Training Institute.
• Serenity Health Training Institute offers job placement services but does not guarantee job placement. Any courses taken through Serenity Health Training Institute do not guarantee employment, nor do they guarantee the passing of the standardized certification exams required of my program.
• It is my sole responsibility to learn the material presented in the Practical Nurse program.
• Attendance is mandatory to successfully pass this course. No make-up class time will be available.
• I will receive an email regarding my admission to Serenity Health Training Institute within five to seven business days of the date of signing this document. If I do not receive an email regarding my admission within the allotted time, I am responsible for calling Serenity Health Training Institute at the number listed at the top of this application.

I understand and agree that all claims and disputes arising under or relating to this Agreement are to be settled by binding arbitration in the state of Michigan. An award of arbitration may be confirmed in a court of competent jurisdiction.

I understand that participation in all coursework and medical training procedures involves a certain degree of risk that could result in the injury to myself or others. After carefully considering the risks involved when registering for my selected program of study, I hereby release and hold-harmless all claims associated with Serenity Health Training Institute and its employees, directors, officers, volunteers, instructors, and members, and further release all claims of damages that may arise from coursework and medical training procedures.

Serenity Health Training Institute ensures all information disclosed in the application above, Addendum A- Payment Authorization Form, and Addendum B- Disclosure & Authorization and Consent for Release Form will remain confidential unless it is required to be disclosed by the law.

I understand that in order to complete my application to Serenity Health Training Institute, I must complete ALL the forms specified below. I understand that my application may be denied due to the submission of an incomplete application, the falsification of information on any of the forms specified below, previous disciplinary actions and/or conduct of the sort that does not meet the standards of Serenity Health Training Institute and/or the requirements of the State of Michigan. (More information on previous convictions can be found in Addendum B: Disclosure & Authorization and Consent for Release Form).

• Application
• Addendum A- Payment Authorization Form
• Addendum B- Disclosure & Authorization and Consent for Release Form

If any clause, or portion of a clause, in the Application, Addendum A- Payment Authorization Form,
or Addendum B- Disclosure & Authorization and Consent for Release Form is considered invalid under the rule of law, it shall be regarded as stricken while the remainder of this Agreement shall continue to remain enforceable and in full effect.

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to admission to Serenity Health Training Institute, I understand that false or misleading information in my application may result in my deferment of admission.
By signing below, I agree to ALL the terms, conditions, and acknowledgements contained in the application above, including Addendum A- Payment Authorization Form, and Addendum B- Disclosure & Authorization and Consent for Release Form.
I agree to all the above statements and certify the signature is that of the applicant.

Payment of the tuition fees can be made via cash, certified check or authorized credit card transactions.
Certified checks (no personal checks) may be mailed, along with the completed application package, to Serenity Health Training Institute at their Southfield Campus. All cash payments, along with the completed application package, can be made at Serenity Health’s Southfield Campus.
Tuition for the practical nurse program offered at Serenity Health Training Institute is $26,999. This amount can be funded by T & I credit union for those student who qualify for this financial assistance.
From the date Serenity Health Training Institute receives and processes your application and agreement, credit card payments may take up to 24 hours or longer to show up on your credit card statements. A confirmation email will be sent confirming payment. If no email is received call: (248)-828-6562.

The enrollment fee is non-refundable. Tuition is only refundable if the applicant notifies Serenity Health Training Institute of his/her wish to withdraw, in writing, no later than three (3) calendar days before the first day the course is scheduled to begin, and/or if the applicant is rejected by Serenity Health Training Institute, or for failure to meet all applicable requirements and state protocol under Michigan law.
In case of withdrawal at any point, the student must return ALL course materials in the condition they were received within 48 hours of withdrawal. The course materials shall be returned to the Serenity Health Training Institute Southfield campus. Failure to return the course materials in the condition they were received in will result in a fine of $50.00 USD. After three days beyond the return period, course materials are considered non-returnable, and the student will receive an additional fine of $50.00 USD. All fines are expected to be paid in full and failure to do so could result in proper legal action. For questions about tuition refunds, contact the Serenity Health Training Institute

I certify that I am an authorized and lawful user of this credit card (if used) and will not dispute this transaction with my bank or credit card company, so long as the transaction corresponds to the terms indicated in this authorized form.
I understand that this authorization will remain in effect until I cancel it in writing.

I understand that if I am removed from my course or expelled from Serenity Health Training Institute as a result of a disciplinary action, my tuition is non-refundable, regardless of the number of classes I have completed.
By signing below, I agree to ALL the terms, conditions, and acknowledgements contained in the application above, including this Addendum A- Payment Authorization Form and Addendum B- Disclosure & Authorization and Consent for Release Form

We are committed to maintaining a safe learning environment. As part of that commitment, Serenity Health Training Institute requires applicants to disclose if they have been convicted of a crime, excluding traffic violations, (or a foreign legal equivalent) that has not been expunged by a court in the Disclosure Questions section below.
A previous disciplinary action, conviction, or conduct of the sort identified here does not automatically disqualify applicants from admission to Serenity Health Training Institute, but they do require review by the institution.
Please complete the following information below to be used in the background search. This information is confidential and will only be used to perform the background search.

Street address, P.O. box, company name, c/o

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State / Province / Region

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Street address, P.O. box, company name, c/o

City

State / Province / Region

Postal / Zip Code

Please fill out all of the information below and attach documents when and where applicable:

Please provide and attach to this form a complete explanation (in English) of the disciplinary action, conviction, or other behavior that caused injury to person(s) or property which resulted in some form of discipline or intervention; the dates and court disposition (court ruling or result), the location (city, state, and country), the impact the incident(s) had on you, and a statement granting your permission to officials at all institutions and agencies to release information needed by Serenity Health Training Institute to substantiate statements made in your application or letter.
Please note that the Serenity Health Training Institute Admissions Committee may request additional information from you and additional time may be required to review the information you provide.

This release and authorization acknowledge that Serenity Health Training Institute may now, or any time while you are enrolled, conduct a background check and drug screening to receive any criminal history information pertaining to you which may be in the files of any Federal, State, or Local criminal justice agency. In the event that information from the report is utilized in whole or in part in making an adverse action decision with regard to your potential enrollment, before making the adverse decision, we will provide you with a copy of the background report and a description in writing of your rights under the law. By signing below, you acknowledge and consent to a third-party service and any of its agents, to disclose orally and in writing the results of this verification process to the designated authorized representative of Serenity Health Training Institute. By signing, you acknowledge that you understand that if information obtained through this background search does not match the information you provided on this form, your application will be reviewed by the Serenity Health Training Institute Admissions Committee. Serenity requires that all nursing students show proof of COVID 19 vaccination to be considered for the nursing program.

By submitting your application to Serenity Health Training Institute, you acknowledge and agree that you have a continuing obligation to inform Serenity Health Training Institute of any legal convictions (or foreign legal equivalents) that have not been expunged by a court (currently and until completion of the course at Serenity Health Training Institute). You must provide updated information regarding your criminal record convictions to the Serenity Health Training Institute Admissions Committee within five (5) calendar days of receiving updated information. At that time, the Serenity Health Training Institute Admissions Committee will review the information provided and may consider whether to delay or rescind your admission to Serenity Health Training Institute. By signing below, I agree to ALL the terms, conditions, and acknowledgements contained in the Application Form, Addendum A- Payment Authorization Form, and this Addendum B- Disclosure & Authorization and Consent for Release Form.

USD $100
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