Nurse Aide Interest Form 2023-24
Complete this form to indicate that you are interested in taking Nurse Aide I through Career and College Promise. This form will be reviewed and you will be notified of your conditional acceptance if space is available in the program. If all spaces are full, you will be added to a waitlist and notified if space becomes available. 

Davidson-Davie Community College will never ask for your username or password using forms or surveys.  If you have concerns about the validity of this form/survey, please contact the CCP staff at ccp@davidsondavie.edu.
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Email *
DDCC Student ID Number (if known)
Last Name *
First Name *
What is your date of birth (MM/DD/YY)? *
High School Name *
Career Development Coordinator (CDC) or Counselor Name (if applicable)
I understand that the first step for eligibility is to watch the Nurse Aide information video. This is a requirement prior to enrollment in the program, and my seat will be determined by timely completion of all enrollment steps. *
I have met with my high school to verify eligibility and understand that documentation is required.  *
If this will be your first college class, please list the date your DDCC application was completed in CFNC (MM/DD/YY). If you are a returning CCP student, please type "returning". *
What is your preferred section for the upcoming year?

Davidson Campus
Fall AM (Aug-Dec) Mon-Fri, 8:00 a.m. - 11:00 a.m.
Fall PM (Aug-Dec)  Mon-Fri, 12:30 p.m. - 3:30 p.m.
Spring AM (Jan-May)  Mon-Fri, 8:00 a.m. - 11:00 a.m.
Spring PM (Jan-May Mon-Fri, 12:30 p.m. - 3:30 p.m.

Davie Campus
Fall AM (Aug-Dec) Mon-Fri, 8:00 a.m. - 11:00 a.m.
Spring AM (Jan-May) Mon-Fri, 8:00 a.m. - 11:00 a.m.
*
What is your 2nd choice, if your first choice is full?

Davidson Campus
Fall AM (Aug-Dec) Mon-Fri, 8:00 a.m. - 11:00 a.m.
Fall PM (Aug-Dec)  Mon-Fri, 12:30 p.m. - 3:30 p.m.
Spring AM (Jan-May)  Mon-Fri, 8:00 a.m. - 11:00 a.m.
Spring PM (Jan-May Mon-Fri, 12:30 p.m. - 3:30 p.m.

Davie Campus
Fall AM (Aug-Dec) Mon-Fri, 8:00 a.m. - 11:00 a.m.
Spring AM (Jan-May) Mon-Fri, 8:00 a.m. - 11:00 a.m.
*
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