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Medical Assistant IBEST Interest Form (Fall 2023) (January start for GED learners)
Please take a minute to answer a couple of short questions regarding your interest in the Medical Assistant Program.
You must attend one information session to move forward with program requirements.
Thank you!
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Email Address
Your answer
A# if you are a current Pima student
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Do you have a high school diploma?
*
Yes
No
Medical Assistant Information Session please select the
one
you plan on attending:
*
Thursday, June 29th (2:00-3:00pm) Virtual -
meet.google.com/nuf-hirj-kzo
(for students who already have a high school diploma)
Questions?
Your answer
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