HWF / Nursing Assistant-Certified (NA-C) Contract

As aCustomer in the Health Workforce for the Future (HWF) program, I willcommit to the following obligations in exchange for services assistance given to me by the HWF program staff.

During Training – I will:

  • Make my best effort to be on time attend every day of class every day of clinical experience. In case of unavoidable absenteeism, I’ll notify my instructor and HWF Navigator.
  • Notify my HWF Navigator ______immediately if I realize I may not complete/pass NA-C training. Together, we’ll determine schedule the next reasonable time/place to continue my training.

Following NA-C Training Graduation,I will:

  • Contact my HWF Navigator to coordinate the application process for the Washington State Nursing Assistant certification within 2 weeks of the end of NA-C training.
  • Start active job search with the assistance of one or more of the following:

___ Make an appointment to meet with the HWFBusiness Services Liaison, Sharon Afforde to discuss employment opportunities. (Contact Sharon: r call (206) 934-6168)

___ Contact my HWF Navigator weekly for job leads for NA-C or homecare employment while I am working to complete the certification.

  • Apply for my Nursing Assistant certification within 2 weeks of passing the NA-C exam. Provide my HWFNavigator with my test results immediately regardless of the results outcome.
  • Inform my HWF Navigator and reschedule anotherNA-Cexam immediately, if I don’tinitially pass my certification exam.

Following Nursing Assistantcertification – I will:

  • If not employed, continue to work with my HWFBusiness Services Liaison and HWF Navigator toenhance my job search efforts.
  • Secure a job in the healthcare field related to my NA-C training.
  • Notify my Navigator upon securing employment.
  • Maintain contact with my Navigator for help with any difficulties I may encounter.
  • Meet with my HWF Navigator to continue to plan training for the next step of my career plan, which is: ______.

I understand it’s important to remain employed, knowing that employers value all thehealthcare experience I have. My job is also critical to my continued academic success. Notes: ____________

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HWF Participant SignatureDate

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HWF Navigator Signature / Phone# / EmailDate

Revised on 2/10/2016