Create Account

Contact Information

Legal First Name

Legal Last Name

Suffix (optional)

Birth Date

Personal Email Address

If you are a current middle or high school student, please use a personal email address - not your school email address. Many school email addresses will not allow external emails to be delivered.

Confirm Personal Email Address

Preferred Phone Number

(###-###-####)

Preferred Phone Type

Check if address is outside of U.S. or Canada

Mailing Address - include PO box - OR - street address and apartment or unit information here

City

State/Province

ZIP/Postal Code

Country

When do you plan to start?

I want to take classes

My educational goal is

If you are a high school student with interest in a healthcare career, choose the Health Sciences CCP Pathway

If you are planning to apply to the Nursing, Diagnostic Medical Sonography, Radiology, or Surgical Technology programs, please select "Health Services Technology"

Academic Program of Interest:

If you are planning to apply to the Nursing, Diagnostic Medical Sonography, Radiology, or Surgical Technology programs, please select "Health Services Technology"

Account Information

Password (must contain at least one upper case letter and be 8 characters long)

Confirm Password