* = Required Information
SECTION I: GENERAL INFORMATION
Male Female
African American Asian/Pacific Islander
Caucasian Hispanic
Other
Adonis College Of Nursing is strongly committed to Equal Opportunity and does not disciminate no the basis of race, color, religion, sex, national origin, age, veteran status, disability, marital status, or sexual orientation.
SECTION II: PERSON TO BE NOTIFIED IN CASE OF EMERGENCY
SECTION III: TRANSPORTATION INFORMATION
Yes No
SECTION IV: CLASS TIME PREFERENCE
Daytime Evening Either
SECTION V: ACADEMIC INFORMATION
Yes No
Yes No
Yes No
Yes No
SECTION VI: FINANCING
Cash Other No Financial Aid
I DO CERTIFY THAT THE INFORMATION IN THIS APPLICATION IS COMPLETE AND ACCURATE. FAILURE TO BE TRUTHFUL WILL INVALIDATE THIS APPLICATION.
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