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NEW LAKE COLLEGE - Student Inquiry
This form submits your contact information and information on your preferred class schedule and prerequisite courses for possible credit towards program requirements. Once submitting this form, an Admission Representative will give you a call within 24-48 business days to assist you with more information. 

If we're not able to reach you by phone, we will send an email.  If you do not want to be contacted, do not submit this form.
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Email *
FirstName *
LastName *
Mobile Phone *
Training Program Interested in *
Required
Are you a current CNA, Yes or No *
Preferred Program Schedule *
Required
Completed ALL PN Prerequisite Courses (for PN Program only) *
Required
When would like to start the training program in
A copy of your responses will be emailed to the address you provided.
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