JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Mailing List for Updates
Use the APPLY link for information on HSO, CNA and MA.
https://bakersfieldhealthcareers.org/apply/
Call 661 861- 1151 if you have specific questions.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Cell Phone Number
*
Your answer
Alternate Phone Number
Your answer
Email Address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age
*
Your answer
Programs you are interested in...
for Information on HSO, CNA and MA use the apply link.
*
Office Skills
Medical Front Office
Vocational Nurse (LVN)
Prerequisites- Medical Terminology, Medical Math, Psychology or Anatomy & Physiology
Required
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This form was created inside of Kern High School District.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report