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Future Class Interest List
First name
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Last name
(Required)
Email
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Phone
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Birthday
(Required)
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Month
Day
Year
1. Which class are you interested in starting in 2025?
Future Course - Select all that apply.
(Required)
Clinical Medical Assistant Certification
Phlebotomy Technician
IV Therapy for Nurses
LPN Remediation Course (For those that have failed the NCLEX)
RN Remediation Course (For those that have failed the NCLEX)
2. Most of the course work will be online but their will be some in-person meetings.
What is the best time of day for in-person class?
Select all that apply.
(Required)
Weekday - Days
Weekday - Evenings
Weekend - Days
Weekend - Evenings
3. How did you find us?
How did you find us?
(Required)
Internet Search
Facebook
Instagram
TikToc
LinkedIn
Employer
Previous Student
I am a Former Student
Word of Mouth
Board of Nursing Website
Other
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