Information Session Survey ver. 1.2
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INFORMATION SESSION SURVEY
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5
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1.
Please enter your contact information.
First Name
Last Name
Address
City
Zip Code
Contact Phone
2.
Email Address
Email Address
*
3.
Ethnicity
African American
Asian or Pacific Islander
Caucasian
Hispanic
Native American
If other, please specify
4.
Gender
Male
Female
*
5.
Desired Program(s)
Registered Nurse (RN)
Practical Nursing (LPN)
Certified Nursing Assistant (CNA)
Pre-Requisite Courses
*
6.
Preferred session
Morning
Evening
If other, please specify
*
7.
Highest Level of Education
High School or GED
Some College Coursework
College Degree
Masters Degree
Certificates
If other, please specify
*
8.
Are you currently enrolled in another school?
Yes
No
9.
If so, what school?
Please Select
Americare Technical School
Aurora University
Beck Area Vocational Ctr
Benedictine University
Black Hawk College
Blessing-Rieman College of Nursing
Bradley University
Capital Area School of Practical Nursing
Carl Sandburg College
Chamberlain College of Nursing
Chicago Public Schools
Chicago State University
CMK Healthcare
College of DuPage
College of Lake County
Concordia University
Danville Area Community College
DePaul University
Eastern Illinois University
Elgin Community College
Elmhurst College
Evanston NW Healthcare School of Anesthesia
Governor’s State University
Graham Hospital School of Nursing
Harper College
Heartland Community College
Highland Community College
Illinois Central College
Illinois State University
Illinois Valley Community College
Illinois Wesleyan University
Illinos Eastern Com Col PN
International Career Institute
J. Renee Career Facilitation, Inc.
John A Logan Community College
John Wood Community College
Joliet Junior College
Kankakee Community College
Kaplan University
Kaskaskia College
Kennedy King College
Kishwaukee College
Lake Land College
Lakeview College of Nursing
Lewis & Clark Community College
Lewis University
Lincoln Land Community College
Loyola University
MacMurray College
Malcolm X College
McHenry County College
McKendree University
Mennonite Nursing at ISU
Methodist College of Nursing
Milikin University
Moraine Valley Community College
Morton College
North Park University
Northern Illinois University
Northwestern College
Northwestern Inst. of Health & Tech
Oakton Community College
Olive Harvey College
Olivet Nazarene University
Omega Healthcare Technical School
Parkland College
PC Center Training Institute
Prairie State College
Quincy University
Rend Lake College
Richard J Daley College
Richland Community College
Robert Morris University
Rock Valley College
Rockford College
Rush University
Sauk Valley College
Shawnee College
Shawnee Community College
South Suburban College
Southeastern Illinois College
Southern Illinois University
Southwestern Illinois College
Spoon River College
St. Anthony College of Nursing
St. Francis Medical Center College of Nursing
St. Xavier University
Trinity Christian College
Trinity College
Triton Community College
Truman College
University of Illinois at Chicago
University of St. Francis
Waubonsee Community College
West Suburban College
Western Illinois University
Wheaton College
Wilbur Wright College
Other
*
10.
Is your CNA license currently active on the Illinois Nurse Registry?
Yes
No
*
11.
Have you completed any of our required pre-requisite courses such as math, English, psychology, or computer from other school(s)?
Yes
No