Allied Health Program Application

Students desiring to apply to an Allied Health Program should submit this form in advance of their target admission date.

Campus*
In which Allied Health Program do you have the intention to enroll?*
Have you successfully completed all general education core courses required for your desired program?*
- Yes
- No
- I will have finished these required courses by the end of the semester.
Are your grades posted in the Banner Web system?*
Which required entrance exam have you taken?*
Upload (attach) your examination report, including the scores, here.
Drop files here or

Max. file size: 8 MB, Max. files: 2.
If you have attended another Allied Health program at SCTC or any other school, please list it here along with the dates of attendance.
Date of application submission*
MM slash DD slash YYYY
Name*
First Middle Last
Student Identification Number (SCTC enrolled students)
Preferred phone number*
SCTC student email address*

Note: All program decisions and communication will be sent to your SCTC student email address