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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.
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* Indicates required question
Email
*
Your email
FirstName
*
Your answer
LastName
*
Your answer
Mobile Phone
*
Your answer
Training Program Interested in
*
Choose
Basic Nursing Assistant Training Program
Medical Assistant Diploma Training Program
Practical Nursing Diploma Training Program
PN Prerequisites Program
Are you a current CNA, Yes or No
*
Yes
No
Preferred Program Schedule
*
Weekday (Monday - Thursday) 9:00AM to 3:00PM
Weeknight (Monday - Thursday) 4:00PM - 10:00PM
Required
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)
Required
When would like to start the training program in
Choose
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.
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