Otero Junior College Nursing Program Information Request
Name
*
First Name
Last Name
Student ID #
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What Program are you interested in?
Traditional Day Nursing Program
Non-Traditional Nights and Weekends Program
I am a Returning Student
LPN-RN Bridge Program
How did you hear about OJC Nursing Program?
*
OJC Website
E-mail
College Fair
HS Counselor
Newspaper
Radio Ad
TV Ad
Current Student
Other
Submit
Should be Empty: