Various forms are required for enrollment into the Health Sciences programs.  Required forms must be completed prior to being granted entry into the program.  Forms with instructions have been compiled into packets so that students will be able complete enrollment requirements collecting and submitting official documents as requested.

Application Packets

Application Packets Status
Associate Degree Nursing Program Application Packet​ Not Currently Available
Dental Hygiene Program Application Packet (PDF) Currently Available
Health Information Management Application Packet Not Currently Available
Physical Therapist Assistant Application Packet Not Currently Available
Vocational​ Nursing Program Application ​Packet​ Not Currently Available

Program Packets

HSUP Program Program Packets
Associate Degree Nur​sing (RN)
Dental Hygiene
Health Information Technology & Health Information Management
Medical Assisting (MA)
Medical Scribe
Nurse Aide/Home H​ealth Aide (CNA)
Physical Therapist Assistant (PTA)
Vocational Nursing (LVN)

Individual Forms

  • ADN Student Data Form​ - Form for students entering the ADN program to provide information that is required by the BRN
  • LVN Student Data Form - Form for students entering the LVN program to provide information that is required by the BVNPT
  • Photography & Publication Release - Acknowledgment that the student has read and understands the contents and policy of the Publication Release
  • PTA Student Data Form - Form for students entering the PTA program to provide information required throughout the program
  • Student Assumption of Risk and Release​ - Acknowledgment that the student has read and understands the assumption of risk associated with enrollment and participation in a Health Sciences program
  • Student Honor Contract - Acknowledgment that student has read and understands the Academic and Scholastic Honesty Policy.  This form is kept in students file
  • Student Handbook Acknowledgment​ - Acknowledgment that student has read and understands the contents, policies, requirements in the student handbook for their program
  • Time Commitment Schedule Planner​ - Health Sciences (form for students to plan study time)
  • Use of Electronic Device  - Acknowledgment that student has read and understands the standards for use of electronic devices in the classroom and clinical skills lab settings