Accelerated Phlebotomy Admission Application!

Complete the application below to get started

Complete the application below to get started!!
Complete the application below to get started!! Application fee has been waived. Each student will receive an $567.
Complete the application below to get started!!
- Name
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Email
  example@example.com
- Program of Interest
- Program Fee: $950
  
  ($612 scholarship applied)
  
  Payment Plan:
  
  $475 due on or before orientation date
  
  $475 due by Friday end of week 2
- Minimal Education Requirements listed below. Please check
- Education documents uploaded
  
  High school seniors may upload any proof they are in high school. This will be verified with high school counselor.
  Cancelof
- Have you previously completed any healthcare training program?
- If Yes: Program Completed
- Program Fee Acknowledgment
- By submitting this application, I certify that the information provided is accurate and complete. I understand that ALL admissions requirements must be met to enter a program including submitting this application in full and educational requirements. I agree to comply with all academy policies, procedures, attendance requirements, tuition obligations, and clinical requirements if accepted.
- Applicant Acknowledgment
- Date Signed
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Type your name below
Should be Empty:

Complete the application below to get started!!

Complete the application below to get started!! Application fee has been waived. Each student will receive an $567.

Complete the application below to get started!!