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Student Information:
Email Address
First Name
Middle Name
Last Name
Birthdate
Birthdate
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Mailing Address
Mailing Address
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Street
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Are you at least 18 years of age or will you be by April 30, 2026?
Are you at least 18 years of age or will you be by April 30, 2026?
Yes
No
Have you previously taken classes at Albertus Magnus College?
Have you previously taken classes at Albertus Magnus College?
Yes
No
Citizenship Information
Citizenship Information
US Citizen
Resident Alien authorized to work in the US
Permanent Resident
Do you have an account with CT Hires?
Do you have an account with CT Hires?
Yes
No
Are you willing and able to work full-time after training is completed?
Are you willing and able to work full-time after training is completed?
Yes
No
Have you been convicted of a misdemeanor or felony that would prevent you from working within a healthcare setting?
Have you been convicted of a misdemeanor or felony that would prevent you from working within a healthcare setting?
Yes
No
Employment Status
Employment Status
Student
Full-Time
Part-Time
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Industry
How did you hear about us?
How did you hear about us?
School
CT Hires
Other
School Name
Please explain
Certificate to be signed by the applicant
This information supplied on the Application for Admission is complete and true to the best of my knowledge.
This training course is offered through the Good Jobs Challenge at no charge to participants. This project is being supported, in whole or in part, by federal award number ED22HDQ3070186, awarded to the State of Connecticut Office of Workforce Strategy by the U.S. Economic Development Administration.
All materials and supporting records submitted by me on my behalf in connection with this application or my attendance will not be released to anyone other than authorized college personnel without my consent.
I also authorize Albertus Magnus College to publish the applicant's picture, address, majors, honors, sports or other activities for public relations purposes should I decide to attend the college in any capacity. This publicity authorization may be rescinded by notifying the Marketing Department in writing 30 calendar days of admission to Albertus Magnus College.
Electronic Signature
Date
Submit