Get Klamath Community College Phlebotomy Application & Registration Form 2016-2025

Completing the Klamath Community College Phlebotomy Application & Registration Form online is a straightforward process that ensures you provide all necessary information for your application. This guide will assist you step by step in properly filling out the form.

Follow the steps to successfully complete your application

1. Use the ‘Get Form’ button to access the application, allowing you to open it in your preferred online editor.
2. Start by entering your personal information. Fill in your name clearly, including your last name, first name, and middle name if applicable.
3. Provide your contact details. Enter your phone number in the specified format and include your email address to ensure you receive important communications.
4. Complete your mailing address. Fill in your address line 1 and, if necessary, address line 2, followed by your city, state, and ZIP code.
5. Indicate your date of birth using the format MM/DD/YYYY. This information is vital for age verification purposes.
6. Select your gender and marital status by checking the appropriate boxes provided in the form.
7. Identify your race and ethnicity by checking all applicable options. This information may be used for institutional compliance.
8. Include your Social Security number if you plan to apply for federal financial aid; otherwise, it is not required. Ensure the information matches your official documents.
9. Fill in the course number, course name, and the dates for which you are registering. This ensures your application is tied to the correct course offering.
10. Specify your payment options by selecting whether you will pay by credit card, check, cash, or scholarship. If paying by credit card, fill in the required card details including card number and expiration date.
11. Read the certification statement carefully. By signing, you confirm the accuracy of the information you have provided, which is critical for your enrollment.
12. After ensuring all fields are completed and accurate, proceed to save your changes. You may then choose to download, print, or share your completed form as needed.

Ready to start your application? Complete the form online today!