502-693-2187

Before you enroll

A few of the people who'll teach you

Every program at Hands2Hearts is led by instructors who have done the job not just

taught it.

MW

Myra Wiley

Program Director & Owner · BSN, RN, OCN

MW

MaDonna White

Morning SRNA Instructor · RN

DH

DeJah Hyles-Elliott

Phlebotomy Lab Instructor

Ready when you are

Kentucky needs about 1,000 more nursing assistants. Be one of them.

Pick a program below, or call Myra directly she reviews every

enrollment herself.

502-693-2187

Email *

Today's Date *

Class Time choice *

Tuesday/Thursday 8:30am-12:30pm

Tuesday/Thursday 5:30pm-9:30pm

Payment Choice *

Pay in full 1400.00

Payment Plan (280.00 a week)

What Cohort date would you like to start (Choose only ONE) *Mandatory in person Orientation is the Friday before the start date at 11 am*

Full Legal Name *

Date Of Birth *

Full Street Address and ZIP CODE (ex: 3934 Dixie Highway Louisville, Ky 40216) *

Social Security number( ex: 555-55-5555) *

Phone Number (ex:(555)555-5555) *

Are you a "The Spot" student that is receiving Tuition Assistance"? *

Yes

No

Are you Go 5 student receiving tuition assistance *

Yes

No

Are you a Kentuckiana Works Career Center Voucher Student (WIOA) *

Yes

No

What is the full name or your Career Coach or Case Worker (if you have one) *

Are you using a DCBS Voucher for tuition? *

Yes

No

Are you a Goodwill Excel Center Student that reports to Tonia Owens that is receiving Tuition Assistance? *

Yes

No

The Louisville Urban League will offer up to 50% Tuition Assistant if you: 1. Work at least 20 hours a week, 2. Meet with a LUL career coach 3. Complete required documentation 4. Live in Jefferson County 5. Pay the program enrollment fee. 6. Email your two most recent check stubs to [email protected] Are you interested in using this service for tuition assistance? 5 and 6 must be completed before the process can begin *

Yes

No

What is your annual income?

Less than 45,178 ($21.27/hr @ 40 hrs a week)

More than $45,178 ($21.72/hr @ 40 hrs a week)

Emergency Contact (Name, Number relationship)

Are you taking any medications you would like to make the Academy aware of?

Yes

No

Medication Name

Do you have any preexisting medical conditions you would like the Academy to be aware of?

Yes

No

List Conditions

Do you Acknowledge Receipt and Understanding of the Student handbook 8.25.26

Yes

No

Do you Acknowledge Understanding of the Refund Policy? Please see page 9 of the Student Handbook

Yes

No

Do you acknowledge you received information to the Students Rights and Responsibilities with Respect to the Student Protection Fund? (Pages 16-17 of the Student HandBook) Phlebotomy HB 8.25.26

Yes

No

PHOTO USE RELEASE FORM I do hereby grant and authorize Hands2Hearts PLLC and Hands2Hearts Academy LLC the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures or video taken of me by Hands2Hearts PLLC and Hands2Hearts Academy LLC to be used in and/or for legally promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports, press kits and submissions to journalists, websites, social networking sites and other print and digital communications, without payment or any other consideration. This authorization extends to all languages, media, formats and markets now known or hereafter devised. This authorization shall continue indefinitely, unless I otherwise revoke said authorization in writing. I understand and agree that these materials shall become the property of Hands2Hearts PLLC and Hands2Hearts Academy LLC and will not be returned. I hereby hold harmless, and release Hands2Hearts PLLC and Hands2Hearts Academy LLC from all liability, petitions, and causes of action which I, my heirs, representative, executors, administrators, or any other persons may make while acting on my behalf or on behalf of my estate?

Yes

No

Disclaimer Of Employment Guarantee: While the Academy offers job placement assistance and referral. The Academy cannot in any way guarantee employment after the student has successfully completed the program of study. Likewise the Academy does not guarantee that a student would pass the necessary state examination for being recognized as a State Registered Nurse Aide.

Agree

Disagree

Right To Cancel/Suspend/Terminate and Make Changes: The academy may cancel suspend or terminate the enrollment agreement at any time if the undersigned student violates any of the following policies and or agreements -failure to maintain satisfactory academic progress -failure to comply with the academy's attendance policy -failure to comply with the academy student conduct policies -failure to meet all financial obligations to the Academy Violation of any of the conditions as set forth and agreed to in the enrollment agreement. The Academy also reserved the right to change or modify the program contents instruction curriculum clinical time equipment staff or materials as deemed necessary. Such changes may be necessary to keep pay with technology advances, to cooperate with clinical training venues, to replace instructors who are not available and to improve the teaching methods or procedures. In no event will such changes diminish their competency or content of the program or result in any additional charge to the student.

Agree

Disagree

Student Acknowledgement This agreement is a legally binding instrument when signed by the student and accepted by Hands2Hearts Academy. Your signature on this agreement acknowledges that you have been given reasonable time to read and understand it and that you have been (a)given a written statement of the refund policy and how it applies, (b) a course catalog including the description of the course, all material facts concerning the Academy and the program course instruction which are likely to affect your decision to enroll. Prior to signing this enrollment agreement you must be given a catalog which you are encouraged to review prior to signing this agreement. This document contains important policies. Immediately upon signing this agreement you will be given a copy of it to retain for your records. I understand that this is a legally binding contract my signature below certifies that I have read understood and agreed to my rights and responsibilities and that the academy's cancellation and refund policy have been clearly explained to me. By signing, I also certified that I have received an explanation of the Academy's graduation requirements, physical demands work conditions and safety attendance behavior and confidentiality requirements (verbal), placement disclosure visited/ toured the Academy. I would hold harmless Hands2Hearts Academy and any of the affiliated clinical facilities of Hands2Hearts Academy of any liability.

Acknowledgement: By signing below, you acknowledge that: You have read and understand this Enrollment Agreement. That you have received a copy of the Student Handbook. That you understand the financial obligations outlined within it and that this enrollment constitutes a legally binding agreement.

A NON REFUNDABLE $104.00 enrollment fee. Your enrollment will not be processed until the invoice is paid. Do you understand?

Yes

No

Please review all questions and be sure each is answered fully as described any incomplete entries will be deleted and you will not be contacted

Yes I understand

If you do not attend the MANDATORY IN PERSON orientation you will be removed from the class and your enrollment fee is forfeited

Yes I understand

Louisville's healthcare workforce training academy — nurse aides, medication aides, phlebotomy, medical assisting, and pharmacy technicians, taught by working nurses.

Contact

Call or text: 502-693-2187

Office / fax: 502-333-0645

hands2heartsacademy.com

Address

3934 Dixie Highway, Suite 500

Louisville, KY 40216

Explore

About

Programs

Enrollment

Contact

Program details current as of August 2026

502-693-2187

Before you enroll

A few of the people who'll teach you

Every program at Hands2Hearts is led by instructors who have done the job not just

taught it.

MW

Myra Wiley

Program Director & Owner · BSN, RN, OCN

MW

MaDonna White

Morning SRNA Instructor · RN

DH

DeJah Hyles-Elliott

Phlebotomy Lab Instructor

Ready when you are

Kentucky needs about 1,000 more nursing assistants. Be one of them.

Pick a program below, or call Myra directly she reviews every

enrollment herself.

502-693-2187

Louisville's healthcare workforce training academy — nurse aides, medication aides, phlebotomy, medical assisting, and pharmacy technicians, taught by working nurses.

Contact

Call or text: 502-693-2187

Office / fax: 502-333-0645

hands2heartsacademy.com

Address

3934 Dixie Highway, Suite 500

Louisville, KY 40216

Explore

About

Programs

Enrollment

Contact

© 2026 Hands2Hearts Academy · Myra Wiley, Program Director & Owner

Program details current as of August 2026

© 2026 Hands2Hearts Academy · Myra Wiley, Program Director & Owner

Program details current as of August 2026