Contact Clarkson College: request information or e-mail administrative and academic departments

Admissions

Prospective Students

Higher Learning Commission Self-Study

Administration, Faculty and Staff

InfoLink

The Nebraska Medical Center

Jobs

How to Contact Us

Printable Page

Submit your request or message by using the form below, and Clarkson College representative 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:

Name of Organization (if applicable):

*Address:

Address 2:

*City:

*State:

*Zip:

*Phone:

(###) ###-####

Work Phone:

(###) ###-####

*E-mail Address:

Sex: Male Female

Date of Birth:

mm/dd/yyyy

Transfer Student or First Time College student?

Transfer Student Freshman

Date of High School Graduation:

mm/dd/yyyy

Term Expected to Start:

Have you inquired at Clarkson College before?

Yes No

I am interested in the following academic program(s):

	Certificates
		Foundations in Health Information Management
		Certificate in Health Information Management
		Health Care Business Informatics PACS Administrator
		Medical Imaging PACS Administrator

	Diploma
		Practical Nursing *

	Associate Degree Programs
		Health Information Management
		Physical Therapist Assistant
		Radiologic Technology

	Bachelor Degree Programs
		Health Care Business - Health Information Management major
		Health Care Business - Informatics major
		Health Care Business - Management major
		Medical Imaging *
		Nursing
		Fast-Track Nursing *
		LPN-BSN *
		RN-BSN *

	Master Degree Programs
		MSN, Adult Nurse Practitioner major
		MSN, Family Nurse Practitioner major
		MSN, Nursing Education major
		MSN, Nursing Health Care Leadership major
		MHA, Health Care Administration
		RN-MSN

	Post Master 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

Questions or Comments:

How did you hear about Clarkson College?
Website/Search Engine
Referral
Radio/TV
Movie Theatre/Billboard
Newspaper/Publication/Direct Mail
High School/College Visit
Campus Visit
Conference
Other

For Clarkson College Alumni Only: Year of Graduation

Notice of Non-Discrimination

Accreditation

	Copyright ©2005 Clarkson College. All rights reserved. \| 101 S. 42nd Street Omaha, NE 68131 \| Phone: 402-552-3100 1-800-647-5500
Comments, questions or suggestions for this site? Contact the Webmaster
This Site Uses Web Solutions Omaha WebFrame.