Licensed Practical Nursing Registration Form
Greetings Incoming Student,

Registration for Licensed Practical Nursing is in person at the Westampton Campus on Monday - Thursday (9am - 8:30pm).  You will need to complete a visitor COVID screening form and have your temperature taken prior to entry into the Adult Education Office.  

To submit a request for more information regarding our Licensed Practical Nursing program please complete this google form and you will be contacted by an Adult Education office staff member to go over the program and the process for making your 1st payment, which will secure your seat in the Licensed Practical Nursing program.

The registration form must be reviewed at the link below.  

https://www.bcit.cc/cms/lib/NJ03000372/Centricity/Domain/582/2022%20-%202023%20Registration.pdf

All required prerequisite documentation must be emailed to Dr. Lazarus at elazarus@burlcoschools.org prior to the start of the first class.  The prerequisites can be found by clicking on the Licensed Practical Nursing "class details" section on the registration portion of our website or at the link below.

https://www.ssreg.com/bcit/classes/classes.asp?catID=5339&pcatID=5263

Your submission of this Google Form acknowledges you understand, reviewed and accept the information identified in the Adult Education Registration form and the Licensed Practical Nursing prerequisites.  

Thank you,

Jesse Pappler
Adult Education Assistant Principal
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FIRST NAME: *
LAST NAME: *
STREET ADDRESS *
CITY *
STATE *
ZIP CODE *
PHONE NUMBER: *
EMAIL ADDRESS: *
Financial Aid is only available for Cosmetology, Dental Assisting, LPN and Medical Assisting.  Please visit our website, click on Financial Aid for more information and review the steps needed to determine your eligibility.   *
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Are you utilizing Financial Aid?   Cosmetology, Dental Assisting, LPN and Medical Assisting are the only programs eligible for Financial Aid.   *
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Are you a former BCIT High School Graduate?  If yes, what year did you graduate?  If you are NOT a former BCIT High School Graduate then type NO below.     *
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