APPLICATION FORM

Forms | Documents | Records Required for Admission

Please Complete Application Form and bring the Following Documents to your Advisment Session.

  • Photo Identification Card (State ID, Drivers License, etc)

  • Social Security Card

  • Proof of Citizenship \ Immigration Status

  • IDPH Nursing Assistant Certificate

  • Basic Life Support for Health Care Provider (CPR) Card

  • Character Reference Forms (3)

  • Health Care Worker BAckground Check

  • Physical Examination & Immunization Records

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847.920.6129

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