Open House Registration Form
Required Field
Last Name
First Name
Email
Day Phone
Evening Phone
Address
City
State
(i.e., CT)
Zip
Date of Open House that you
would like to attend
----- Choose a Date -----
March 24th, 2012 9:00 a.m.
Sorry, I can't attend.
# of People Attending
Select #
1
2
3
4
5
6
7
8
Program of Interest
Select
-- ASSOCIATE DEGREES --
AS in General Studies
AS in Medical Assisting
AS in Nursing (Day)
AS in Nursing (Evenings)
AS in Radiography
-- CERTIFICATES --
Central Sterile Processing
Diagnostic Medical Sonography
Health Care Management (Online Program)
Health Care Reimbursement Specialist
Health Promotion (Online Program)
Hospital Coding
Human Services
Medical Assisting
Medical Office Assistant
Multi-Skilled Assistant
Pharmacy Technician
RN Refresher
