PCC Nursing Program Information Session

Questions marked with * are required.

Personal Email Address (please avoid using a school assigned email address)

Personal Email Confirmation (re-enter email address)

First Name

Last Name

Preferred Name (Optional)

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone Number

Can we send text messages to this number?

Yes

No

What program are you interested in?

Were you admitted to PCC and enrolled prior to Fall 2023?

Yes

No

PCC ID Number

When do you plan to start at PCC?

Will you need an F-1 visa (I-20) to study at PCC?

Yes

No

Are you currently attending high school?

Yes

No

High School Name

What year do you expect to graduate?