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Clarkson College Omaha Nebraska
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Submit your request on the form below and someone from our office will contact you.  *Denotes required fields.
*Department:
Administrative Offices Health Care Business Radiologic Technology
Admissions Housing Registrar
Alumni Relations Human Resources Service-Learning and Community Service
Basic Life Support Marketing Student Center and Success Center
Continuing Education Medical Imaging Technology Services
Financial Aid and Student Accounts Online Education Undergraduate Nursing
Giving Physical Therapist Assistant Other Office Not Listed 
Graduate Nursing Practical Nursing
*First Name: Middle Initial: *Last Name:
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*Address:
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Sex: Male  Female
Date of Birth:
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Transfer Student or First Time College student?
Transfer Student  Freshman
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I am interested in the following program(s):
     Certificates
     Foundations in Health Information Management
Certificate in Health Information Management
Health Care Business Informatics PACS Administrator
Health Care Business Informatics PACS Manager
Medical Imaging PACS Administrator
Medical Imaging PACS Manager
Undergraduate-Diploma
Practical Nursing *
Associate Programs
Health Information Management
Physical Therapist Assistant
Radiologic Technology
Bachelor Programs
Health Care Business - Management Major
Health Care Business - Informatics Major
Health Care Business - Health Information Management Major
Medical Imaging/PACS *
Nursing
Fast-Track Nursing *
LPN-BSN Program *
RN-BSN Program *
Graduate Programs
MSN, Adult Nurse Practitioner Option
MSN, Family Nurse Practitioner Option
MSN, Nursing Education Option
MSN, Nursing Health Care Leadership Option
MS, Health Care Business Leadership
RN-MSN Program
Post Graduate Certificates
Adult Nurse Practitioner
Family Nurse Practitioner
Nursing Education
Nursing Health Care Leadership
* Program Requirements: (Please see the Admissions section of this Web site for additional application materials and requirements.)
Medical Imaging - Copy of American Registry of Radiologic Technologists (ARRT) card.
LPN-BSN - Copy of current unencumbered LPN licensure.
RN-BSN - Copy of current unencumbered RN licensure.
Practical Nursing, Traditional BSN and Fast Track BSN - Copy of current Certified Nurse Aide Registry (CNA) registration details
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For Clarkson College Alumni Only: Year of Graduation
 


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