Application of Interest

For general questions & information:

Fax: 910-809-4996

Fill out the form below with your class interest. Please allow 1-2 business days for a reply. *

This is an application of interest only. It does not guarantee course registration. Course registration is completed when the enrollment forms are complete & the enrollment fee is paid. Please check course availability prior to paying course fees.

*All students must be able to read and understand English

Full Name
*
Address
*
- Street Address
- Address Line 2
- City
- State / Province / Region
- Postal / Zip Code
- Country
Email Address
*
Phone Number
*
Desired Class
*
Select Campus
*
Desired Class Date
*
How did you hear about us?
Referral/Other

Information is for registration purposes only. We do not share any information.

Please review our Privacy Policy.

CARING FOR LIFE

Healthcare Education

Application of Interest:

Paying for class:

Tuition Assistance/Payment Plans