Residential Care and Health Facility Administrator Online Registration

Choose a Class:

Attendee Name:

Attendee Title: (if applicable) (optional)

Attendee Home Address:

Attendee City/State/Zip:

Attendee Work Phone Number: (optional)

Attendee Home Phone Number: (optional)

Attendee Cell Phone Number:

Attendee Personal Email:

Attendee Work E-Mail: (optional)

Facility/Building Name: (if applicable) (optional)

Facility Corporation: (if applicable) (optional)

Facility Address: (optional)

Facility City / State / Zip: (optional)

Facility Phone Number: (optional)

Subtotal $2,995.00

Total Amount: $2,995.00

Registration Information!

Attendee Registration:
By Submitting Payment. I certify, under the penalties or perjury, I have represented my identity and place of employment truthfully and that I am attending for the purpose(s) of completing the course of study to meet state requirements–and/or enhance my education to achieve my RCA or HFA license. I further certify that I am not attending to engage in an investigation of this course, its speakers or its sponsors.

Confirmation Email:
Once registration is submitted, you should receive a welcome and confirmation email within 48 hours. If email is not received, please contact us at (317) 596-0707 or success@successdevelopment.biz.

Cancellation/Withdrawal/Incompletion:
Cancellations made less than 15 working days prior to the scheduled session or “no shows”, are not eligible for a refund. Each situation will be reviewed for determination of refund or credit eligibility. ($500.00 is nonrefundable – if a refund is approved) If a session is canceled by the Provider, a full refund will be made. For additional clarification, contact the Course Provider.

Assistance:
Please let the Course Provider know if you need special accommodations.