A complete Part 1 Pre-Enrollment packet must be on file at the Health Sciences office to be considered for enrollment into the Nurse Assistant/Home Health Aide (NA/HHA) program. Documentation for these Clinical Requirements must be submitted as a complete packet in a large envelope. Records will not be accepted separately. 

Packet Instructions

  • ​Print the Part 1 Pre-Enrollment Packet. Use the Part 1 Pre-Enrollment Checklist (page 1) as a guide in completing all the steps. 
  • Proceed with Steps A-E.
    • Step A - Clinical Requirements Checklist : Complete the Clinical Requirements Checklist and submit copies of all required documentation.  These include:
    • Step B - Technical Standards Disclosure Sheet:  Review the standards and initial each of the areas in which compliance with standard is possible on the Technical Sta​ndards Disclosure​ form. Medical assisting can be a physically demanding profession; students should be prepared to meet the technical standards necessary to perform the functions of medical assisting.
    • Step C - Confidential Application for Clinical Practice: Document on t​he Confidential App form. This form is the initial step to completing the criminal background check. This form discloses to Shasta College (confidentially) the existence of any criminal convictions. 
    • Step D - Student Data Form: The information on the Student Data Form will be kept on file while you are enrolled in the program.  It is your responsibility to notify the Health Sciences office of any changes in your contact information by filling out the Contact Information Change Form​.
    • Step E - Signed Acknowledgement Forms
    • Step F - For those who are ONLY applying to the Home Health Aide portion of the program - Current CNA certification from the California Department of Public Health. Certification must be valid throughout the entire length of the course.

When complete, bring your materials to the Health Sciences Division office.​

Once all the required documentation has been received by the Health Sciences office, staff will review the materials and verify completion. Your name will be added to the Class Working List based on the date you submitted the complete Part 1 packet. When a class position is available for you, the Health Sciences office will email you a Class Invitation.

The Part 2 Pre-Enrollment Packet is time-sensitive and should not be completed until directed by the Health Sciences office. Students who have been offered enrollment will be emailed instructions when it is time to complete the Part 2 packet.

Click here to go to the Part 2 Packet page with forms and instructions.