Student Application & Enrollment Agreement
Please fill out the form below to apply for our Allied Health Training Courses. Submission of application does not guarantee acceptance into program of choice.
*PLEASE DO NOT FILL OUT APPLICATION, UNLESS YOU ARE READY TO MAKE PAYMENT VIA ONLINE CREDIT CARD AUTHORIZATION FORM OR IN-PERSON. All APPLICATIONS WILL BE DISCARDED IN 72 HRS DUE TO NON-PAYMENT.*
DEBIT/CREDIT CARD and/or CASH.
*WE ACCEPT AMERICAN EXPRESS*
PLEASE COMPLETE ENROLLMENT AGREEMENT AFTER APPLICATION SUBMISSION. PAYMENTS WILL NOT BE ACCEPTED UNTIL BOTH FORMS ARE COMPLETED.
ADMISSION OFFICE WILL CONFIRM APPLICATION SUBMISSION WITHIN
24 - 48 HRS