Pending Approval — This program is pending approval by the Commonwealth of Massachusetts and the Division of Occupational Licensure (DOL).

Start your healthcare career

Apply to Dola Health Career Institute

Follow the three steps below to complete your enrollment. Steps 1 and 2 are completed online. Step 3 takes place in person at our Agawam campus.

1Complete the Application

2Complete the Enrollment Form

3Entrance Assessment (In Person)

Application Form

Personal information, eligibility, education, and employment

Personal Information

First Name*

Last Name*

Date of Birth*

Phone Number*

Email Address*

Street Address*

City*

State*

ZIP Code*

Eligibility

Are you over 18 years old?*

YesNo

Have you been convicted by any government agency of child, patient, resident, or elderly abuse?*

YesNo

Education

Highest Level of Education*

Other Education

Other Certifications

Employment History(Most recent employment first)

Most Recent Employer

Employer Name

Job Title

Dates of Employment

Reason for Leaving

Previous Employer

Employer Name

Job Title

Dates of Employment

Reason for Leaving

Upcoming Session Start Dates

Full schedule →

Nov 2026

Nov 16

Enrolling Now

Jan 2027

Jan 5

Enrolling Now

Mar 2027

Mar 2

Enrolling Now

CNA & HHA programs run 4 weeks · 95 hours. First Aid & CPR dates vary — contact us.

Program Selection

Program*

Additional Information

CPR Certified?*

YesNo

Who referred you to us?*

Certification & Dates

I certify that the information provided in this application is true and complete to the best of my knowledge. I agree that if I misrepresent or omit any relevant information or provide false answers, Excel Training Institute will disqualify or discharge me from the Program without refund.

I agree to the above statement*

I agree

School Catalogue Receipt

Per school policy, all students must receive and review the Dola Health Career Institute School Catalogue before enrolling. Download the catalogue for your program below, or request a paper copy from the school office.

Hybrid Programme Catalogue In-Person Programme Catalogue

Don't have a printer? Contact us at admin@dolanursing.com or call the school office to request a paper copy.

Catalogue acknowledgement*

I confirm that I have received and reviewed the Dola Health Career Institute School Catalogue (digital or paper copy).

Applicant Signature*

Sign here

Draw your signature in the box above using your mouse or finger.

Today's Date*

Preferred Class Date*

Important — Please Read Before Submitting

This enrollment form applies to all schedule types: Day Hybrid, Evening Hybrid, and Fully In-Person Evening. Your completed application will be submitted to bmustapha@dolanursing.com.

Seats are not reserved until payment is received. A $75 refundable deposit is required to hold your seat.

Download Enrollment Agreement (DOCX) — review before completing this form.