Online Application

Student Information
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High School Information

List your high school information and request official transcripts to be sent directly to the Admissions Office. Current high school students should have a transcript sent now and another after graduation is noted on the transcript. All transcripts must be official and sent via mail or through an electronic transcript exchange. Faxed transcripts will not be accepted. ACT/SAT scores may be included with your high school transcript.

High School Equivalent Exam

For those who have completed a high school equivalency exam, complete the following information. If we can access your transcript online, we will do so. If not, you will need to request an official transcript be sent directly to the Admissions Office.

Postsecondary Education

List EVERY college, university, and vocational postsecondary school you have attended. You must request official transcripts from every school to be sent directly to the Admissions Office. Students currently enrolled at another school should ask the school to send a transcript now and one after current courses are completed. All transcripts must be official and sent via mail or through an approved electronic transcript exchange. Faxed transcripts will not be accepted.

Civil or Academic Discipline
Have you ever been suspended or dismissed from any school/college/university?
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Have you ever been placed on academic or disciplinary probation?
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Have you ever been convicted of a criminal offense?
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Student Classification
Please select one of the following:



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Equal Education Opportunity

Answers to the following questions will not be provided to those making an admission decision. They are not used in deciding admission and will not be released except as group statistics for federal, state, and other reports. Questions regarding gender, race, and marriage status are important in determining the effectiveness of efforts related to the provision of equal education opportunity.

Did you ever attend our Healthcare Camp while in high school?
Gender
How did you learn about our school?






Citizenship (We are not authorized to admit other immigration classifications)
Marital Status



Ethnicity





Employment Status
Will you continue to work when enrolled?
Are you currently a SoutheastHEALTH Employee?
Do you plan on using Veteran’s benefits while you are in school?
Military Status
Academic Program(s) Applying For

NOTE: The application fee for each program applied for is $100.

Beginning Each Summer Semester







Beginning Each Fall Semester


Beginning Any Semester
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Have you previously applied for admission to this college?
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Checklist Review

  • Fully completed application
  • Background Check
  • Immunization Records
  • Program Specific Eligibility Form
  • $100 Application Fee
  • Test Scores
  • High School and/or College Transcripts

I understand that my application will not be considered complete and therefore not reviewed until the above materials are submitted:
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Signature
I affirm that all information supplied is complete and accurate. I understand that any misrepresentation or change of facts could be cause for refusal of admission, cancellation of admission, or suspension from the College. I am aware that this application will not beconsidered until all required admission items are received by the College.
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