Request edit access
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.
Training Program Interested in
Basic Nursing Assistant Training Program
Medical Assistant Diploma Training Program
Practical Nursing Diploma Training Program
PN Prerequisites Program
Preferred Program Schedule
Weekday (Monday - Thursday) 9:00AM to 3:00PM
Weeknight (Monday - Thursday) 4:00PM - 10:00PM
Completed ALL PN Prerequisite Courses (for PN Program only)
YES (Basic Math, English Comp, Interpersonal Comm, Intro to Psychology, Gen Anatomy and Physiology) Gen AP must be within 5 years from start of PN Program
NO - missing Basic Math
NO - missing English Comp
NO - missing Interpersonal Comm
NO - missing Intro to Psych
NO - missing General A&P
Not Applicable (if enrolling in the BNA Training Program or MA Diploma Training Program)
When would like to start the training program in
Quarter 1 (Jan - Mar)
Quarter 2 (Apr - Jun)
Quarter 3 (Jul - Sep)
Quarter 4 (Oct - Dec)
A copy of your responses will be emailed to the address you provided.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service