PLEASE ALLOW 5-7 BUSINESS DAYS FOR REVIEW OF YOUR APPLICATION

 
25% of survey complete.
We are currently accepting applications for the Full-time 2021-2022 class that will begin in August 2021 and the Part-Time 2023-2025 class that will begin in March 2023.  Admission testing will begin in December 2020 for the Full-Time 21-22 class and April 2022 for the Part-Time 23-25 class.  Please include an email address when completing this application for further information on the admission test.

PLEASE ALLOW 5-7 BUSINESS DAYS FOR REVIEW OF YOUR APPLICATION.

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* 1. Please specify which Practical Nursing program you are interested in.

Thank you for your interest in the CCCTC Licensed Practical Nursing Program. All information will be kept confidential and will not be released to any other institutions.
The application consists of 4 pages and should only take a few minutes to complete.  Incomplete Applications may not be considered.
Once you have completed your application you can expect a response at the email address you provided on your application within 5-7 business days (Monday-Friday).

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* 2. Personal Information

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* 3. Telephone #'s:

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* 4. Last 4 Digits of Social Security #

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* 5. Birthdate

Date

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* 6. EMERGENCY CONTACT:

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* 7. Relationship to Emergency Contact

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