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Contact Us
Submit your request or message by using the form below, and a Clarkson College representative will contact you.  *Denotes required fields.
*Department:
Administrative Offices Health Care Business Radiologic Technology
Admissions Housing Registrar
Alumni Relations Human Resources Service-Learning and Community Service
Basic Life Support Marketing Student Center and Success Center
Continuing Education Medical Imaging Technology Services
Financial Aid and Student Accounts Online Education Undergraduate Nursing
Giving Physical Therapist Assistant Other Office Not Listed 
Graduate Nursing Practical Nursing
*First Name: Middle Initial: *Last Name:
Name of Organization (if applicable):
*Address:
Address 2:
*City: *State:
*Zip:
*Phone:
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Work Phone:
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*E-mail Address:
Sex: Male  Female
Date of Birth:
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Transfer Student or First Time College student?
Transfer Student  Freshman
Date of High School Graduation:
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Term Expected to Start:
Have you inquired at Clarkson College before?
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I am interested in the following program(s):
     Certificates
     Foundations in Health Information Management
Certificate in Health Information Management
Health Care Business Informatics PACS Administrator
Medical Imaging PACS Administrator
Undergraduate-Diploma
Practical Nursing *
Associate Degree Programs
Health Information Management
Physical Therapist Assistant
Radiologic Technology
Bachelor Degree Programs
Health Care Business - Health Information Management major
Health Care Business - Informatics major
Health Care Business - Management major
Medical Imaging *
Nursing
Fast-Track Nursing *
LPN-BSN Program *
RN-BSN Program *
Master Degree Programs
MSN, Adult Nurse Practitioner major
MSN, Family Nurse Practitioner major
MSN, Nursing Education major
MSN, Nursing Health Care Leadership major
MHA, Health Care Administration
RN-MSN
Post Master Certificates
Adult Nurse Practitioner
Family Nurse Practitioner
Nursing Education
Nursing Health Care Leadership
* Program Requirements: (Please see the Admissions section of this Web site for additional application materials and requirements.)
Medical Imaging - Copy of American Registry of Radiologic Technologists (ARRT) card.
LPN-BSN - Copy of current unencumbered LPN licensure.
RN-BSN - Copy of current unencumbered RN licensure.
Practical Nursing, Traditional BSN and Fast Track BSN - Copy of current Certified Nurse Aide Registry (CNA) registration details
Questions or Comments:
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High/College Visit School Visit
Campus Visit
Conference
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For Clarkson College Alumni Only: Year of Graduation
 


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