RN Refresher Registration

Please fill out this registration form to start the RN Refresher enrollment process.

Name Name * First Last
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
County *
Phone Phone * - ### - ### ####
Email *
THEARI receives some funding from local and federal governments. Because of this, we are often asked to collect and report on participant demographic information. No individual-level data are shared and your personal information is kept confidential and secure.
Age *
Race *
Hispanic / Latino *
Gender *
Are you from a rural area? *
Are you from a Frontier Area (sparsely populated area isolated from populated centers and services)?
Are you from a disadvantaged background? *
Are you from a medically underserved area? *
About Your Status
Is the Board of Nursing requiring you to take a refresher course before you re-take the NCLEX? *

If you are taking this course because you failed the NCLEX 3 times and the board is requiring you to take a refresher before you take it again, choose "Yes".
I understand that the THEARI Online RN Refresher Course is NOT an NCLEX Preparation course. While there are opportunities to practice for the NCLEX, and some of our students have used this course as part of their preparation, we cannot guarantee that students will pass the NCLEX exam after taking this course. *

I understand that the THEARI Online RN Refresher Course is NOT an NCLEX Preparation course. While there are opportunities to practice for the NCLEX, and some of our students have used this course as part of their preparation, we cannot guarantee that students will pass the NCLEX exam after taking this course. Yes
What is the status of your license? *
Please enter your RN License # or N/A *

Please enter your RN License Number. If you do not have an RN License, please enter "N/A"
In which state are you licensed (N/A if none) *
How long have you been out of clinical practice? (e.g. 3 months) *
What is your education level? (Choose all that apply)

What is your education level? (Choose all that apply) Diploma/GED ADN BSN MSN PhD DNP Other
Why are you taking this course?
Registering with a school code? Enter it here
How did you hear about us?

How did you hear about us? THEARI Website AHEC Website Email HCM Rotation Presentation School Presentation Social Media Teacher/Counselor Word of Mouth Health Careers Camp State Board of Nursing Other Other
Would you like to join the THEARI mailing list to receive monthly newsletters? *
Do you need accommodations in order to complete this course? Send an email to sandra@centralcoahec.org to securely begin our process.
Payment
Refund Policy: I understand that there are NO REFUNDS of the course fee after 10 days upon receiving my username and password. If a refund is deemed due to me by THEARI, I understand that there will be a 20% Administration Fee that will be deducted from the entire course fee. *

Refund Policy: I understand that there are NO REFUNDS of the course fee after 10 days upon receiving my username and password. If a refund is deemed due to me by THEARI, I understand that there will be a 20% Administration Fee that will be deducted from the entire course fee. Yes
Licensure Note: By checking the box below I acknowledge that completion of this course is not a guarantee of licensure. I understand that I will need to take and pass the live, proctored final exam with an 80 percent or better in addition to completing this course and any other requirements of the State Board of Nursing to be eligible to receive my license. *

Licensure Note: By checking the box below I acknowledge that completion of this course is not a guarantee of licensure. I understand that I will need to take and pass the live, proctored final exam with an 80 percent or better in addition to completing this course and any other requirements of the State Board of Nursing to be eligible to receive my license. Yes
How will you be paying for the course? (Course fee: $2500.00) *
COUPON/PROMO CODE
I agree that my credit or debit card, or bank account, will automatically be charged every month for the Monthly Amount agreed upon. I agree to pay The Health Education and Resources Institute (THEARI) $40.00 for each occurrence where a charge is rejected for insufficient funds or for a chargeback initiated by the Person. I will make arrangements to immediately pay THEARI by another method for any rejected charge and understand that non-payment will affect my status. I understand that I may cancel this Agreement by notifying THEARI in writing 30 days before the next payment date, but that the status of my re-payment will be affected by the Agreement’s cancellation unless all unpaid balances are paid in full prior to cancellation.

Payment of tuition is the student’s responsibility. Students enrolled in the payment installment plan must be sure their accounts are paid in full before being eligible to schedule the final exam and completing the course. THEARI reserves the right to freeze access to the Refresher course until payments are up to date. Contact the Professional Education Coordinator at training@centralcoahec.org for all payment inquiries.

I understand that if I miss a payment my access to the course may be subject to revocation. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Today's Date Today's Date * / MM / DD YYYY

RN Refresher Registration

RN Refresher Registration

About Your Status

Do you need accommodations in order to complete this course? Send an email to sandra@centralcoahec.org to securely begin our process.

Payment