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To submit an application to our school, please complete the following form and select Submit Application.

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Personal Information

Please use your full legal name. If you do not have a middle name, please type 'none' in the space provided for that information. Although your Social Security Number is not required, providing this information can be helpful during the financial aid awarding process.

Address Information
    Please enter your Primary address first.
    1.  
Contact Information

List your primary phone number first. When listing your phone number, please use numbers only. Do not enter dashes or other punctuation.

  1. Phone Type Country Phone Number Primary
Demographic Information

This information is confidential. It is not used in admissions decisions and will not be released except as group statistics for federal, state, and institutional reports.

Ethnicity and Race Information

This information is confidential. It is not used in admissions decisions and will not be released except as group statistics for federal, state, and institutional reports.

Citizenship Information

Documentation may be required.

Government Information

Please complete if you are not a citizen of the United States and are applying as an international student. Documentation may be required.

  1. Calendar
Academic Information
  1. Program
On-Campus Apartment-Style Housing
Emergency Contacts

Employment

Complete this section only if you are or your spouse is a current employee of one of our partners or if you are a dependent of an employee of one of our partners. Our partners / affiliates are: Nebraska Medicine, Clarkson College, Children's Physicians, Nebraska Orthopaedic Hospital, Shenandoah Hospital, and Community Hospital Association, Inc.

  1. Employer Name Position Start Date End Date
Education History

It is required that you list all educational institutions you have attended. Failure to do so may result in the administrative withdrawal of your application, change in admission status or dismissal from the college. Please know that this information may be verified through the National Student Clearinghouse.

High School / GED: Indicate your high school information here. High school transcripts are required of all students applying to undergraduate programs. If you earned a GED, indicate that in this section of the application. For undergraduate applicants, official GED scores must be submitted. Graduate students do not need to send high school transcripts as part of the application process.

Post-Secondary Institutions: List all colleges, universities, professional, technical and business schools you have attended. Report all institutions regardless of whether or not credit or a degree was earned. Official transcripts will be required to complete the application process.

To add another institution, click on "Add Another Institution." After entering your education history, the application cannot be saved and returned to at a later date. You must continue to complete the application thoroughly and hit submit.


  1. Institution Attended

     

Source

How did you become aware of Clarkson College and the programs we offer?

Drug, Alcohol, and Criminal Background Self-Disclosure

Drug and Alcohol Screening -- Drug and alcohol screening may be required of students as a condition of eligibility to participate in theory, laboratory, clinical, practicum classes, college activities, or campus housing. Be advised that a positive result on a drug test will result in consequences that will vary depending on the level of severity and the need for additional treatment. At the very least the student will be unable to attend a clinical or field site until cleared to do so. Other potential consequences may include suspension or expulsion.

Criminal Background Self-Disclosure -- Prior conviction of a felony or certain misdemeanors, other than minor traffic offenses, may make a student ineligible to participate in various clinical experiences and possibly make it impossible for a student to complete the scheduled program of study. Prior conviction of a felony or misdemeanor may make the individual ineligible for professional licensure, professional certification, or professional registration, dependent on specific regulations of individual health professions and state of practice. Please Note: Convictions or charges resulting in any of the following must be reported: plea of guilty, plea of nolo contendere (no contest), withheld or deferred adjudication, suspended or stay of sentence, and/or military court martial.

HAVE YOU EVER BEEN CONVICTED OF A MISDEMEANOR OR A FELONY? Misdemeanor charges or convictions that occurred while a juvenile and that were processed through the juvenile court system are not required to be reported. Misdemeanor speeding convictions are not required to be reported unless they are related to alcohol or drug use.

School Policy

I hereby certify that the statements on this application are correct to the best of my knowledge and I understand that falsification or omission of information may result in disqualification or dismissal of this application for admission to Clarkson College. I understand that if I enroll at Clarkson College and it is later determined that information on this application was not correct in its entirety, I may be dismissed from the institution. I authorize official representatives of Clarkson College to verify information provided in this application. Application materials submitted as part of the application process, become the property of Clarkson College. Materials will not be returned, and copies will not be provided. I agree to abide by the policies and regulations of Clarkson College.

Note 1: Please keep a copy for your records.

Note 2: Drug and alcohol screening may be required of students as a condition of eligibility to participate in theory, laboratory, clinical, practicum classes, college activities, or on-campus housing. Be advised that a positive result on a drug test will result in consequences that will vary depending on the level of severity and the need for additional treatment. At the very least the student will be unable to attend a clinical or field site until cleared to do so. Other potential consequences may include suspension or expulsion.

  1. Select "I accept" to confirm that you have read and fully understand the terms and conditions set forth in our Application Policy

    I do not accept I accept