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 and does not guarantee course registration. Your registration will be confirmed once all enrollment forms are completed, a copy of your transcript is submitted, and the course deposit is paid. Be sure to check course availability before submitting any 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