subject_line
Allied Health Enrollment
Please ensure all enrollment documents are submitted at least 2 business days prior to the class start date. Enrollment is open to high school students who are in their junior or senior year. High school students become eligible to enroll in allied health courses starting from the summer after completing their sophomore year.
First Name
*
Middle Name
*
Last Name
*
Date of Birth
*
+
Address
*
Address 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip/Postal Code
*
Phone
*
Email Address
*
If in high school, what year do you graduate?
What semester do you plan to start?
*
Summer 2024
Fall 2024
Spring 2025
What Allied Health courses are you enrolling in?
*
CNA (NUR201)
CMA (NUR202)
EMT-B (BS 240)
CMA Update (NUR203)
Powered by