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REAPPLICATION

APPLICATION FOR REGISTERED NURSING ASSOCIATE DEGREE NURSING PROGRAM
REAPPLICATION Deadline: March 3, 2014

This reapplication form is ONLY for applicants entered into the September 2013 lottery who were not selected for the program. It must be received in the Health Occupations Office before 5:00pm on March 3, 2014 in order to be processed. Postmarks and physical locations other than the Health Occupations Office will not constitute valid submission.

It is the responsibility of the applicant to complete the application and provide all required documentation to the Nursing Department by the application deadline.

Name
Mailing Address
Phone
   
Email Address
Person to notify in case of emergency:

Academic Degree(S) Completed Since Last Application (if awarded elsewhere than Butte College, send official transcript to Admissions and Records, 3536 Butte Campus Dr., Oroville, CA 95965)

The following information is required for reporting to the program’s governing agencies:

Gender
      
Ethnicity:
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By clicking the 'submit' button you certify that the information on this application is true and complete. And you understand that any misrepresentation or omission of data may result in denial of enrollment or dismissal from the program.

Butte College | 3536 Butte Campus Drive, Oroville CA 95965 | General Information 530.895.2511

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