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2015 Associate in Applied Science Application Healthcare Programs

Application
Application Acceptance is ongoing. Preference will be given to those who apply before February 1, 2015
If no Southern ID, contact Student Records at 304-896-7443.
Students will be notified of their status via email.
Under Immigration and Naturalization Service’s rules, Southern is not an institution certified to receive international students.
Program Choice
You will only be considered for admission to the program(s) for which you apply. Please rank the program(s) of your choice in numerical order. Only the programs listed below are accepting applications at this time.
The Medical Assisting program is only available at Southern's Wyoming/Mcdowell Campus.
Attachments
Application attachments may be submitted in pdf, jpg, doc, or png file formats.

 

*Failure to fully complete this application, provide truthful information, and/or send required documentation will result in immediate disqualification. 
I certify that all information provided in connection with this application is true and correct to the best of my knowledge.  I understand that any misrepresentation or omission on this application shall automatically dismiss me from any Healthcare program.  I have applied for admission to Southern West Virginia Community and Technical College and all transcripts, other than Southern’s, are attached to this application.  I have also attached a copy of my ACT scores, if applicable, to this application.  By signing below I verify and hereby affirm that I have read and understand this application. 
 

*Failure to fully complete this application, provide truthful information, and/or send required documentation will result in immediate disqualification. 
I certify that all information provided in connection with this application is true and correct to the best of my knowledge.  I understand that any misrepresentation or omission on this application shall automatically dismiss me from any Healthcare program.  I have applied for admission to Southern West Virginia Community and Technical College and all transcripts, other than Southern’s, are attached to this application.  I I have also attached a copy of my ACT scores, if applicable, to this application. I understand HESI A2 scores must be attached also if applying for the Nursing Program. By signing below I verify and hereby affirm that I have read and understand this application.