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Nurse Aide I Permission Request Form  
 
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Durham Tech Home > Continuing Education Students > Noncredit Schedule >  Nurse Aide I Permission Request Form

First Name  
*required
Last Name   
*required
NOTE: You must have access to a computer with internet connectivity and an active email address to take this course. Email is the primary mode of contact between you and the instructor.
Email Address   
*required
Email Address again (for verification)  
*required
Home Telephone with area code
*required
Work Telephone with area code
(optional)
*Questions 1 through 9 below must be completed.

1. Have you taken an online course before?
Below, provide information about any online courses you have completed.



2. Please tell below why you decided to take this course online.


3. Course prerequisites and corequisites
To register for a course, you must have met the prerequisites (if any). The required prerequisites for the online courses that you have selected are listed below:

  • Must have successfully completed college level (non-developmental) classes.
  • Must have documented plans to pursue a health care field (ie. on a nursing program wait list or plans to attend a physician assistant program)

Please describe how you have met or are planning to meet these requirements.



4. Computer requirements
To take an online course you need regular, frequent, and dependable access to a computer with the following:

  • Internet access via a phone modem or high-speed access such as cable or DSL;
  • An internet browser: Netscape 6.0, Mozilla 1.2, Firefox 1.0, or Internet Explorer 5.5 (or higher versions);
  • A working email address configured properly so email from faculty and students are not blocked as spam; and
  • PowerPoint 2000 version or higher software. If you don't own PowerPoint, Microsoft offers a "PowerPoint Viewer" that can be downloaded free from their web site.

Indicate below how you plan to access the internet (phone modem, cable, or DSL) and which internet browser and version that you plan to use (Netscape, Mozilla, Firefox, or Internet Explorer)



5. Required computer skills
In an online class, the computer provides the medium through which all (or nearly all) class activities take place. Therefore, it is critical that you have good computer skills and are comfortable doing the following:

  • Sending and receiving email;
  • Attaching documents to email messages and opening attachments that you receive;
  • Using a browser to navigate the web; and
  • Using a word processor.

Describe your level of skill with email (including attachments), web browsers, and word processors.



6. Time required for an online course
The traditional Nurse Aide I course requires most students to spend 10 hours per week attending classes and an additional five hours per week reading and studying. This hybrid class requires 5 hours per week in the classroom and 10 hours reading and studying online.

Do you have at least 15 hours per week to spend on the online course, completing the reading, writing, assignments and for participating weekly in the discussion forum (if required)?



7. Study skills/habits needed
Do you like to take the initiative, ask questions, and join in discussions? Do you like to complete your work ahead of time? Are you task-oriented, self-motivated, and organized? Do you enjoy reading and figuring things out? Do you enjoy experimenting with new technology? Do you enjoy helping others learn? If you answered "yes" to these questions, then internet learning is well-suited to you.

Describe your learning style below. If your preferred learning style does not match the description above, what needs to be done to ensure your success?



8. Communication in an online course
Online learning is designed to be interactive both with the other students in the class and with the instructor. Online courses use a discussion forum to "have class." You don't have to be online at the same time, but you will need to visit the forum on a regular basis several times each week. When you visit the forum, you are expected to post your work, read the postings of your classmates, and post follow-ups to their postings. Whenever you visit the forum, you must post some kind of response so your instructor will know you were there. Your active participation in the forum is how your instructor takes attendance.

The other way the class is interactive is through email. You will be receiving email from your instructor and from your classmates. Thus, it's very important that you check your email on a daily basis to see if there is any response needed on your part.

In your response, indicate that you understand the importance of interacting with other students in the class and responding promptly to them and to the instructor.



9. Personal Identification Number (PIN)
Send prerequisite requirements and unofficial transcript to any of the locations noted below. You will then be assigned a Personal Identification Number (PIN). The PIN form must accompany your registration.

  • Mail to: DTCC, Attn: Nurse Aide Program, 1637 Lawson Street, Durham, NC 27703
  • Fax to: 919-686-3479, Attn: Nurse Aide Program
  • Deliver to: Main Campus, Corporate Education Center, or N.C. Mutual Building, 6th Floor

Please use the text box below to list your PIN number.



10. What questions do you have about course prerequisites, computer requirements, computer skills needed, or time required for an online class?
We will respond to your concerns by email as soon as we can!




      

After the "Send" button is selected, your browser will display a summary of the form information so it can be saved or printed out for your records.



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