Practical Nursing Application

Please answer each question completely. Your responses will be used to determine eligibility for the Fall 2027 Practical Nursing cohort.

Applicants will be required to upload digital copies of their HSRT report and proof of CNA as part of this application. Please ensure you have legible electronic copies of these documents ready before you begin.

Applicant Information

First Name

Preferred Name

Last Name

Birthdate

Star ID

Tech ID

Email

ℹ️ Enter a valid email address you monitor regularly and confirm it is entered correctly. All application communication will be sent to this address. NTC is not responsible for missed notifications resulting from incorrect contact information, full mailboxes, or spam filtering.

Application Requrements

Admission Requirement

Are you an accepted NTC student?

Yes

⚠️ Eligibility Warning
Only students who have been accepted to Northwest Technical College are eligible to apply to a nursing program. You indicated that you have not yet been accepted to NTC.

You may continue with this application; however, if NTC admission is not completed as required, your nursing application may be considered ineligible for review.

Prerequisite Courses Requirement

Indicate which of the three required Practical Nursing prerequisite courses you have completed or are currently enrolled in.
If you are completing prerequisite coursework at an institution other than NTC, you are responsible for providing official documentation to NTC verifying your current enrollment or course completion. (Select all that apply.)

BIOL 2260 Anatomy & Physiology I — 4 cr

HLTH 1106 Medical Terminology — 2 cr

PSYCH 2201 Lifespan Psychology — 3 cr

Nursing Assistant Requirement

How are you meeting the Nursing Assistant requirement?

I have completed HLTH 1110: Nursing Assistant at NTC or an equivalent course within the last 5 years

I have an active CNA certification or had one within the last 5 years

I have a CNA Waiver approved by the NTC Nursing Department

✓ No upload required
You indicated this requirement is documented on your submitted transcript.

✓ No Upload Required
The Nursing Department will verify your waiver approval directly.

Required Upload: CNA Certification (PDF, JPG, or PNG)

Upload a clear copy of your CNA certification (active within the last 5 years). Your full name must be visible. Applicants are responsible for clear, accurate, and valid uploads; unreadable or unverifiable files may make your application ineligible for review.

Entrance Exam Requirement

Have you completed the HSRT exam on campus at NTC and passed with a 70 or higher?

Yes

⚠️ Eligibility Warning
The HSRT must have been completed on campus at Northwest Technical College within the last two years to meet this application requirement.

Based on your response, you may not currently meet this requirement. Missing application requirements may prevent you from submitting your application or result in your application being ineligible to move forward for review.

Required Upload: HSRT-AD Exam Score Report (PDF, JPG, or PNG)

Upload the score report you emailed to yourself after completing the in-person HSRT-AD exam at Northwest Technical College. Ensure your full name, exam date, and score are clearly visible. Applicants are responsible for uploading clear, complete, and readable files; unreadable, incomplete, or corrupted documents may make your application incomplete and ineligible for review.

Please confirm that your HSRT exam was taken within the last 2 years.

I confirm my in person HSRT exam was taken at NTC, within 2 years of my application.

Please confirm the score on the report you uploaded:

Agreements and Confirmation

Communication Responsibility

I acknowledge that I am responsible for providing a valid and accurate email address and monitoring it regularly. I understand that all application communications will be sent to the email address provided and that Northwest Technical College is not responsible for missed notifications resulting from incorrect contact information, a full mailbox, or spam/junk filtering.

Document Upload Responsibility

I understand that I am responsible for ensuring my required documentation is complete, successfully uploaded, clear, and readable. Illegible, incomplete, corrupted, or missing documentation will not be interpreted, reconstructed, or verified by Northwest Technical College and may result in my application being considered incomplete and ineligible for review.

Admission Understanding

I understand that submission of this application does not guarantee admission, and that all admission decisions are final and at the discretion of Northwest Technical College.

Certification of Information

I certify that all information and documentation provided in this application is complete, true, and accurate to the best of my knowledge. I understand that I am responsible for meeting all prerequisite and application requirements by the applicable deadlines, and that applications that do not meet these requirements will not be eligible to move forward for review. I understand that false, misleading, incomplete, or inaccurate information may also result in my application being considered incomplete or ineligible for review.

Electronic Signature — Type Your Full Legal Name to Certify This Application

Click to Sign...

Submitting again? Your most recent application will replace your previous responses.

Practical Nursing Application - Fall 2027 Cohort

ℹ️ Enter a valid email address you monitor regularly and confirm it is entered correctly. All application communication will be sent to this address. NTC is not responsible for missed notifications resulting from incorrect contact information, full mailboxes, or spam filtering.

Admission Requirement

Prerequisite Courses Requirement

Nursing Assistant Requirement

Entrance Exam Requirement