Complete the application below to get started
  • Complete the application below to get started!!

  • Payment plan available: $425 deposit due on or before orientation. $425 due week 2. Application fee has been waived. Each student will receive an $680 scholarship.

    • Student Information 
    • Date of Birth *
       - -
      2 digit month, 2 digit day, 4 digit year
    • Format: (000) 000-0000.
    • Program Selection 
    • Select the session you will be attending*
    • Education Background & Requirements 
    • Minimal Education Requirements listed below. Please check*
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    • Healthcare Background 
    • Have you previously completed any healthcare training program?
    • Application Fee has been waived for the two weeks program.  
    • Applicant Agreement & Signature 
    • 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.

    • Date Signed*
       - -
      2 digit month, 2 digit day, 4 digit year
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