Nursing Information Session Registration Form

Nursing Admissions Information Registration*indicates required field

First Name*

Last Name*

Middle Name

Previous Name(s)

Birthdate*

Current Address*

City*

State*

ZIP*

Permanent Address*

City*

State*

Zip*

Are you currently enrolled at Kishwaukee College?*

Yes

No

The following documents must be on file in Student Services prior to registering for an information session:

General Application to Kishwaukee College within the past two years
Official High School Transcript or High School Equivalency Certificate
Official Transcripts From All Colleges Attended

Registrations will be processed in the order received. A confirmation for the registered session will be sent to the Kishwaukee College email address provided above.

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