Health Occupations Information Request Form

The NMC Health Occupations Department will respond to questions about its programs that you send through this form. You may also phone the Health Occupations Department directly at 231.995.1235, or through the NMC switchboard at 800.748.0566 x1235.

Name:
Address line 1:
Address line 2:
City:
State:	Zip:
Phone No.:
E-mail Address:	Please confirm your e-mail address by entering it again:
H.S. Graduation Date:
Date of Birth:
I would like the following information:
	Annual print catalog Schedule of Classes Financial Aid Information Tour of Health Labs and Campus Program Information, Admissions Requirements, Map, and Costs: Associate Degree Nursing Practical Nursing Dental Assisting Program Information: Respiratory Therapy Pharmacy Technician
Desired semester of entry:
Areas of academic interest:
How did you hear about NMC's Nursing, Dental Assisting, and Allied Health Programs?
Do you have additional questions/comments?