Healthcare Service Training Registration

Please complete the below form to begin your application to register for a Healthcare Service Training course. Limit of one course per student.

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Academic Level Credits Cost Term Subject Course Name Course Title


Are you a veteran?*

Do you have a social security number?*

Have you received a complete COVID-19 vaccination?*

Note: Upon submission, you will receive instructions to fill out and upload an additional PDF form as part of your application. Please carefully review those materials and reach out to with any questions.