Practical Nursing Application

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Bellingham Technical College does not discriminate on the basis of race, ethnicity, creed, color, sex, gender identity or expression, citizenship or immigration status, national origin, age, religion, disability, veteran or military status, sexual orientation, genetic information, the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a person with a disability, pregnancy, marital status, or any other characteristic protected by federal, state, or local law in its programs, activities, and services.

The following person has been designated to handle inquiries regarding the non-discrimination policies: Director for Human Resources Allison Mack, 360.752.8354, or hr@btc.edu. For Title IX/Section 504 compliance, contact: Vice President of Student Services Michele Waltz, 360.752.8440, or title9@btc.edu. Mailing address: 3028 Lindbergh Avenue, Bellingham, WA 98225. BTC publications are available in alternate formats upon request by contacting the Accessibility Resources office at 360.752.8576.

Applicant Information

First Name: *

Last Name: *

Date of Birth: *

Student ID (ctcLink ID): *

Former Name(s):

Phone No: *

Preferred Email: *

Confirm Email: *

Current Address: *

City: *

State: *

Zip Code: *

Which program option would you like to be considered for? (choose all that apply)*

Full-time Practical Nursing (3 quarters to complete)

Part-time Practical Nursing (6 quarters to complete, not including summer)

The answers to the follow questions will be used to sort applicants onto the Annual Waitlist for Practical Nursing (APL-PN). Incorrect answers will not be awarded points.

1. I have successfully (required minimum grade) completed 15 or more credits of nursing prerequisite courses at BTC (repeated courses only count once). *

    Yes

    No

2. I have successfully (required minimum grade) completed 30 or more credits of nursing prerequisite courses at BTC (repeated courses only count once). *

    Yes

    No

3. I successfully completed Nursing Assistant and/or Allied Health Program at BTC. *

    Yes

    No

4. I applied last academic year with a complete application to the Annual Waitlist for Practical Nursing. *

    Yes

    No

5. I have applied in the last two academic years with a complete application to the Annual Waitlist for Practical Nursing. *

    Yes

    No

What happens next?

Click the "Submit" button below to submit the application.

Once the request is submitted, a confirmation will be sent to the email you entered above.

Please see www.btc.edu/nursing for next steps and upcoming dates.

Please click the "Submit" button only once. this may take a few seconds to process

An automated confirmation will immediately be sent to the email address on this Application. Keep this confirmation as your receipt. If you do not receive the confirmation, it means that BTC did not receive your Application, and you will need to resubmit it.