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Dmission into the program. Please review this document carefully. Applicants are notified by email upon acceptance into the nursing program. Name Home Phone Last First Middle Previous Name(s) Alternate Phone (Cell) Important if your records reflect a name different from above Address SS # Street G# (Required by the Board of Vocational Nursing) Birth Date City State Zip E-mail Address (Confidential for records only) High School City State Submit an official high school or GED.
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