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Community College of Philadelphia
Nursing Program
2020 Application
_____ Traditional Option ____Post Baccalaureate Option
_____ Readmission _____ Advanced Placement
Name (Last, First, Middle) Student Number (J#) Date of Birth
Address Primary Telephone Number
___________
City
____________________
State
____________________
Zip Code
________________________________
Alternate Telephone Number
__________________________________________________
E-Mail Address (CCP email)
High School and College Information
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High School Attended/GED
_________________________________
Date of Graduation (MM-DD-
YYYY)
List Previous Colleges Attended Dates Attended and Degree Earned
You are responsible for obtaining official copies of your high school/GED transcripts and all college
transcripts. High school transcripts must be sent directly to the College at the address listed on the
envelope. Submit all college transcripts, in a sealed envelope, with your application packet. Your
application packet must be submitted to the Admissions Office by the designated deadline date listed
on the attached Policies and Procedures form.
I have been provided with the Fall 2018 Nursing Policies and Procedures and verify that I have received,
read and understand this information. By signing and submitting this application, I also acknowledge
that I meet the minimum designated admission requirements as listed on the attached Policies and
Procedures Form for the program selected above.
Signature Date
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signature
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