Online Application for Pacific College

All application information is confidential. All application materials, once submitted, are the property of Pacific College of Health and Science and cannot be returned to the applicant. 

1 Personal info
2 EDUCATION
3 Demographic
4 Payment
Select the campus you're applying to
Are you enrolling Full-time or Part-time?
Are you currently a practicing nurse?

Personal Information

Have you applied previously to Pacific College?
Your Address
Gender
Citizenship
US Citizen
Do you have a Social Security Number?
Do you have or will you apply for a student (F-1 or M-1) Visa?
The i-20 should be sent to the address the above?
What resource(s) will you use to fund your education?
Sponsorship
Will you be bringing your spouse and/or children?
Prior Education
Have you completed your secondary education?
Have you previously attended a nursing program?Failure to disclose this could result in being disqualified
Select your highest level of education

Please chronologically list your high school and all colleges and universities attended

Demographic info
Racial/ Ethnicity status
Have you ever been convicted of a felony or a first degree misdemeanor?
Have you served in the military?

I hereby make Application for Admission to Pacific College of Health and Science, and certify that all information given on this application is true.


I authorize Pacific College to investigate all statements on my application.


By signing this application electronically, I certify under penalty of perjury that my selections are correct and complete to the best of my knowledge.


I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.

Thank you for your service! Your application fee is waived.
$ [field81]
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Pacific College Accepts:

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