Nursing Assistant Program Application
This application is for rising seniors who would like to pursue a career in the nursing profession.  This program is open to all Portsmouth Public Schools students; however, a grade point average of 2.75 and approval from your Guidance Counselor are required.  Students must be 17 years of age to start the course and 18 years of age to take the National Examination.
Email *
Name *
Date of Birth *
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Student I.D. Number *
Street Address *
Zip Code *
Contact Number *
Parent/Guardian's Name *
Parent/Guardian's Contact Number *
Number of absences for S1 *
Why are you interested in taking this course? *
Current School *
Current Grade Level *
A copy of your responses will be emailed to the address you provided.
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