Pre-Licensure Application 2024 -2025

Name(Required)
Address(Required)
Max. file size: 8 MB.
Upload your CNA/LPN documentation. Need proof you took the course. Can be image of completion certificate or transcript from HS or college. Do not submit proof of your license as that is not accepted.
Max. file size: 8 MB.
Upload CPR Certification
Max. file size: 8 MB.
Must have taken within the last two years
Do you have any experience, certifications, or licenses that relate to the healthcare field?(Required)
Do you have experience working with populations that different from your own?
http://yt60.cceweb.net/academics/nursing/wp-content/uploads/sites/32/2024/08/Critical-Thinking-Recommendation-2.docx
http://yt60.cceweb.net/academics/nursing/wp-content/uploads/sites/32/2024/08/Leadership-Recommendation-Letter.docx
Are you an international student?(Required)
Race/Ethnic Background
Gender
Are you from a rural residential area?
Application Agreement(Required)