Transcription of OCVTS Practical Nursing Application
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OCVTS Practical Nursing Application
OCEAN COUNTY VOCATIONAL TECHNICAL SCHOOLA pplication forPRACTICAL Nursing ADMISSIONPLEASE PRINT ALL INFORMATION CLEARLY_____ Last Name First Name Middle Initial_____ o Male o FemaleMaiden Name_____Mailing Address - Street / PO_____ City State Zip Code_____Cell Phone Number Home Phone Number _____Date of Birth Age City of Birth County of Birth State of Birth Country of BirthFirst date of entry in school, if born outside the United States or Puerto Rico: _____High School Last Attended City State_____Highest Grade Completed Date of High School Graduation (Month/Year)Do you have a High School Equivalency Diploma (formerly GED)?
OCEAN COUNTY VOCATIONAL TECHNICAL SCHOOL Application for PRACTICAL NURSING ADMISSION PLEASE PRINT ALL INFORMATION CLEARLY _____ Last Name First Name Middle Initial
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