Jenzabar University

To apply for the Philander Smith College Certified Nursing Assistant (CNA) program, please complete the following steps:

• Complete the PSC CNA Admission Application
• Submit an official transcript from your High School or provide proof of a completed GED
• Pass a Background check
  (For more information, please review the list of disqualifying criminal offenses.)
• Pass a Drug Screening
• Submit Health and immunization records upon admission acceptance

Please complete all parts of the CNA application.  If you are unable to complete the application in full, the form values will not be saved and you will need to restart your application.

Once all the requirements are satisfied for the admission application, the completed application will be sent to the CNA Admission Committee for Review.  By submitting this application, you give Philander Smith College permission to perform a background check and drug screen if accepted into the CNA program. 

Philander Smith College offers a Certified Nursing Associate program.  This program starts every 6-8 weeks.  Please identify which program start date you would like to attend.

Note:  You will need to be able to pass a background check and drug screen to be accepted to this program.  If you have any questions about your eligibility, please contact the CNA program coordinator at CNA@Philander.edu.

What term would you like to start your CNA program?

Briefly describe why you would like to earn your CNA certificate:

Are you a former or current Philander Smith College student?

Do you have a documented disability?
We adhere to the Americans with Disabilities Act regarding admission to a Health Sciences program

Are you able to pass a Background Check?
For details on the background check, please visit the website for the Arkansas Department of Human Services, Office of Long Term Care.

Have you ever been convicted of a Felony?

First Name:

Middle Name:

Last Name:

Former Name(s) used:

Suffix:

Gender:

Birth Date:

Are you a Citizen of the United States?

Are you authorized to work in the United States?

SSN:

Race:
(Choose one or more)

Ethnicity:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Country:

Phone Number:

Email Address:

Confirm Email Address:

Did you graduate from High School?

Did you complete your High School GED?

What year did you earn your GED?

High School Graduation Information

Please request that an official transcript from your High School be sent to Philander Smith College.

Name of High School

Year of Graduation

City of High School:

State of High School:

Did you attend a college or university after High School?

Additional Education:

Name of Institution:

Degree:

Major:

City:

State:

Additional Education:

Name of Institution:

Degree:

Major:

City:

State:

Relationship of Emergency Contact:

First Name:

Last Name:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Phone Number:

Email Address:

Please click Submit to finalize your application to the Philander Smith College CNA program.  After submitting your application, please complete the following steps:

• Submit official transcripts from your High School or show proof of a completed GED
• Pay $100 Application Fee
• Submit Health and immunization records upon admission acceptance

By submitting this application, you give Philander Smith College permission to perform a background check and drug screen if accepted into the CNA program.