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Licensed Practical Nurse (LPN) Certificate
Columbus State Community College Practical Nurse Program Application
First time applicant
Previously accepted into LPN
Are you transferring from another practical nursing program?
If yes, please list the school name and location
Which nursing entrance test have you taken? (must be taken at Columbus State Community College)
The following prerequisites must be met before submitting the application:
Yes, I meet all of the above requirements.
No, I do not meet all of the above requirements.
Cougar ID #:
Date of graduation:
Date you completed GED:
Previous Colleges Attended:
Did you leave each institution in good standing?
Have you ever been dismissed from any college?
If so, please briefly explain why:
Have you ever been dismissed from any nursing program?
Do you have any un-expunged felony convictions?
Please ensure all required fields have been filled before submitting.
550 East Spring St., Columbus, OH 43215 (614) 287-5353 firstname.lastname@example.org
5100 Cornerstone Dr., Delaware, OH 43015 740-203-8000 email@example.com
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