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  • Each student is required to have a negative TB skin test (negative chest x-ray if skin test is positive) prior to starting clinical.  The results must be turned in prior to clinical.

  • Must be of at least 16 years of age to apply.

  • Registration does not guarantee acceptance.

  • Must complete first payment in payment program or pay in full before class start date.

Registration Form

Select Start Date:

Check schedule for class start dates.

Day / Night Class:

Payment Options:

Application Date:

Date of Birth:

First Name:


Email Address:

Phone Number:

Coupon Code:

Last Name:

Last 4 SS#:

Drivers License State:

License Expiration Date:

Drivers License Number

Class Selection:

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