Applications are normally reviewed within 24 hours of submission or the next business day.

 
25% of survey complete.
We are currently accepting applications for the Full-time 2017-2018 that will begin in August 2017 and the Part-Time 2017-2019 class that will begin in March 2017.

* 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.
Once you have completed your application you can expect a response at the email address you provided on your application within 48 hours (Monday-Friday).

* 2. Personal Information

* 3. Telephone #'s:

* 4. Last 4 Digits of Social Security #

* 5. Birthdate

Birthdate
/
/

* 6. EMERGENCY CONTACT:

* 7. Relationship to Emergency Contact

T