Practical Nursing Spring 2026

Practical Nursing Spring 2026
HOW TO APPLY:
1. Pay the $30 non-refundable PN Program Application Fee to MTECH Student Services. This can be done either in person or on the phone.
2. Completely fill out this application and gather all of the required supporting documentation.
3. If you have questions or need assistance with the application, please contact nursing@mtec.edu.
PLEASE NOTE:
1. The Practical Nursing Program accepts applications twice a year.
2. The non-refundable $30 PN Program Application Fee must be paid BEFORE you submit the MTECH Practical Nursing Application.
3. Application does not guarantee admission to the program.
4. The $40 MTECH Student Registration Fee will be paid AFTER you are admitted to the PN program. If you are accepted, you will be notified by email of the due dates for the remaining fees.
5. You will be required to pay for your drug screen and background check AFTER you are admitted to the program. The estimated cost for the drug screen and background check is between $90-$110.00
6. Additional fees for vaccinations, scrubs, stethoscope, nursing supplies, etc, will be required upon acceptance into the Practical Nursing Program.
7. Once you are admitted to MTECH, you will need to register and pay your tuition and fees in FULL at least two weeks before the start date. Tuition and fees must be paid at Student Services. Tuition rates generally change annually on July 1st, and may increase from current rates.
BE PREPARED TO SUBMIT THE FOLLOWING DOCUMENTS:
1. The Practical Nursing Application – Your application MUST be complete and submitted by November 15 at 12pm for spring semester OR June 15 for fall semester. Late or incomplete applications will not be accepted.
2. Professional Certificate – Please submit a current CNA certificate. This cannot be a screenshot of your history, it must be a copy of your official CNA Certificate.
3. Current Basic Life Support (BLS) Certificate from American Heart Association.
4. Official College Transcript(s) – Please submit a copy of your official transcript(s) with the application. Transcript(s) are required and must show the grades earned for the prerequisite courses, Anatomy, Physiology, and Growth and Development OR Psychology; If you have taken additional nursing prerequisite courses not required by MTECH that you would like to receive points for, you must submit transcripts for those courses as well.
5. Personal Information Form – This is included in this application. Please ensure all information in this form is accurate and complete.
6. Work History Form – This is included in this application. Please ensure all information in this form is accurate and complete.
7. Application Fee Receipt – You can pay this in person at MTECH Student Services or you can pay Student Services by phone at 801-753-6282. A receipt will be emailed to you if you choose to pay by phone. There is no option to pay electronically through the application portal.
PLEASE READ THE FOLLOWING INFORMATION CAREFULLY:
1. This application form does NOT work on iOS devices (iPhone, iPad). Please use a desktop or laptop computer (Windows, Mac, Linux) or a Samsung device with a strong internet connection.
2. Incomplete applications or those received outside the application period will NOT be accepted. Applicants are strongly encouraged to apply before the deadline to give the PN Department time to review the application and allow for corrections, if needed. Corrections will not be accepted after the application deadline.
3. Entry into the program is determined by a competitive, points-based process. There is no waiting list.
4. If you are applying for Federal Financial Aid, please go to https://mtec.edu/financial-aid/ for more information. You should apply for financial aid at least three weeks before the program starts to ensure processing prior to your start date.
5. Within the application, you will have the option to save your progress and continue later. After clicking "Save and Continue Later", please select "Skip Create an Account" at the bottom of the Jotform popup. You will then enter your email to receive a link to continue later.
WHAT HAPPENS AFTER YOU APPLY:

Applications are only good for one application period. If you apply, but are not accepted, decline your seat, or withdraw from the program, you must reapply. Admission to the program is not guaranteed.
NON-DISCRIMINATION STATEMENT

Mountainland Technical College does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities. The following person has been designated to handle inquiries regarding nondiscrimination policies:

Lynn Adams
Mountainland Technical College
2310 West Ashton Blvd.
Lehi, Utah, 84043
Phone: 801-753-4245
ladams@mtec.edu

Inquiries may also be sent to:
Office for civil rights, Denver Office
U.S. Department of Education
Cesar E. Chavez Memorial Building
1244 Speer Boulevard, Suite 310
Denver CO, 80204-3582
Phone: 303-844-5695 (TDD: 800-877-8339)
Fax: 303-844-4303
Email: OCR.Denver@ed.gov

Practical Nursing Spring 2025
Name*

First NameLast Name
Applicants must use their current legal name. If supporting documents show a previous name, provide proof of the name change in the Document Uploads section.
Maiden Name
Phone Home/Cell*
Email*
Please enter your email address carefully—this is how we’ll contact you about your application status.
Birthdate*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Have you attended an information session this application cycle?

YesNo
Have you applied to the program previously?

YesNo

EMERGENCY CONTACT

Please list name, address, and phone number of your nearest relative or friend NOT living with you who will always know how to reach you.
Name of emergency contact*

First NameLast Name
Relationship*
Phone Home/Cell*
Email*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

WORK HISTORY

List your most recent work experiences (beginning with your most recent position) and/or provide direct healthcare related work experience. Please include any volunteer work you have done.
Number of Related Jobs*
Company Name*
Job Title*
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name*
Phone*
Length of Employment*
Reason for Leaving*
Job Description*
Second Company Name
Job Title
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name
Phone
Length of Employment
Reason for Leaving
Job Description
Third Company Name
Job Title
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name
Phone
Length of Employment
Reason for Leaving
Job Description

Document Uploads

Please upload the required documents in this section.
Headshot Photo*

Please upload a headshot photo of yourself. Photo must be a clear image of your face, must be of only you (no other people, animals, objects), must be in color, must be recent (within the last 6 months), must not use filters or AI, must have attire appropriate for school/work, and must have a plain white background. This should be a passport quality photo. Please refer to the examples above of acceptable photos.
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Professional Certificate*

Please submit a current CNA certificate – This cannot be a screenshot of your history, it must be a copy of your official CNA Certificate.
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Basic Life Support (BLS) Certificate from AHA*

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Official College Transcripts*

Maximum of 10. Please submit a copy of your official transcript(s) with the application. Transcripts are required and must show the grades earned for the prerequisite courses, Anatomy, Physiology, and Growth and Development OR Psychology; If you have taken additional prerequisite courses not required by MTECH that you would like to receive points for, you must submit transcripts for those as well.
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Documentation of name change

Ex: Marriage certificate or other government document if your legal name is different than what appears on the above documents.
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Report of Health Evaluation*

Complete the Report of Health Evaluation Form (within one year of application date). This form can be found at https://mtec.edu/wp-content/uploads/2024/07/Report-of-Health-Evaluation-1.pdf
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Practical Nursing Application Receipt*

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Entrance Assessment score report or ACT score report*

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PLEASE NOTE

For your form to be submitted successfully, please wait until your files have been completely uploaded and no longer display the word "cancel" next to the file size.

Example:

Should be Empty:

Practical Nursing Spring 2026

Practical Nursing Spring 2025

EMERGENCY CONTACT

WORK HISTORY

Document Uploads