Nursing Assistant I Program Interest Form

Name(Required)

First Last

Date of Birth(Required)

Address(Required)

Street Address City State ZIP Code

Cell Phone Number(Required)

Home Phone Number

Work Phone Number

Email(Required)

Current or previous student at Davidson-Davie?(Required)

Provide proof of ONE of the following listed below...

OPTION 1: CASAs Reading Placement Test (10.0)

Drop files here or

Max. file size: 256 MB, Max. files: 3.

Will need to schedule an appointment for CASAs testing. (Contact Leann Pate, leann_pate@davidsondavie.edu for a testing permission form.)

OPTION 2: Highschool Transcript

Drop files here or

Max. file size: 256 MB, Max. files: 3.

If less than 5 years since graduation and unweighted GPA of 2.6 or higher

OPTION 3: College Credit for English

Drop files here or

Max. file size: 256 MB, Max. files: 3.

Submit an unofficial copy of the transcript

OPTION 4: Placement Tests

Drop files here or

Max. file size: 256 MB, Max. files: 3.

SAT score report indicating a 480 or higher in Evidence-Based Reading and Writing | ACT score report of 22 or higher in Reading or 18 or more in English

Nursing Assistant I Program Interest Form

Nursing Assistant I Program Interest Form

Provide proof of *ONE* of the following listed below...

Provide proof of ONE of the following listed below...