EHS Student Enrollment Application
Share your contact details and program preferences for the 2027 cohort.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Program Interest
*
CNA
Med Tech
Phlebotomy
Other
Preferred Start (2027 Cohort)
Please Select
Spring 2027
Summer 2027
Fall 2027
Other
How did you hear about us?
Please Select
Google Search
Social Media
Friend or Family Referral
Community Event
Other
I understand tuition and requirements will be confirmed at enrollment.
*
I agree
Submit
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