LCC in Healthcare Interest Form

Lowcountry Careers Collaborative Interest Form

Complete the form below to take the next steps in starting your career in healthcare.
Name*

First NameLast Name
Pronouns
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
County of Residence*
County of Residence*

Berkeley CountyCharleston CountyDorchester County
Which program are you interested in?*
Which program are you interested in?*

Certified Nursing Assistant (CNA)/Patient Care Technician (PCT)Certified Medical Assistant (CMA)/Medical Assistant (MA)Licensed Practical Nurse (LPN)Radiologic Technologist (Rad Tech)Phlebotomist
Are you currently a student?*
Are you currently a student?

YesNo
If yes, what program are currently enrolled in?
Are you currently employed as a Patient Care Technician within your first 90-days of employment with MUSC?*
How did you hear about Lowcountry Careers Collaborative?

EmployerNewsSC WorksSchoolSocial MediaSearch EngineWord of MouthOther
Please verify that you are human*
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