The Academy Charter School — Adult Education Interest & Open House Registration
Tell us you're interested in our tuition-free LPN and EMT pathways starting Fall 2026, and register for our Open House on Thursday, August 13. This is an expression of interest, not an application for admission — it does not guarantee acceptance. Admitted students complete a short ELA + Math assessment; funded seats are limited (15 per pathway).
Full Name
*
First Name
Last Name
Preferred Name
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Preferred Contact Method
*
Email
Phone
Text
Program of Interest
*
LPN (Practical Nursing)
EMT
Both
Not sure yet
Desired Start
Fall 2026
A future cohort
Why are you interested in this program?
Highest Education Completed
HS Diploma
GED
Some College
Associate
Bachelor
Graduate
Other
Most Recent School
Year Completed
Have you worked in healthcare?
*
Yes
No
Role(s)
CNA
PCT
HHA
Medical Assistant
EMT
Phlebotomist
Pharmacy Tech
Other
Employer
Years of Experience
Will you attend our Open House — Thursday, August 13, 2026, 1:00–3:00 PM at Uniondale High School?
*
Yes
No
How Did You Hear About Our Program?
Website
Family
Friend
Social Media
Employer
Counselor
Flyer
Community Event
Other
Anything else you'd like us to know?
Consent
*
I understand this is an expression of interest only and not an application for admission. I authorize The Academy Charter School to contact me regarding program updates.
Submit
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