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Student Enrollment Checklist

MM slash DD slash YYYY

1. DRIVERS LICENSE/STATE ID/OTHER

Drop files here or
Max. file size: 512 MB.
    Driver's License (front and back) or some kind of form of state issued ID, passport issued ID or passport, and flu vaccine card (for flu card, this is only required during flu season)

    2. SOCIAL SECURITY CARD

    Max. file size: 512 MB.

    3. COVID VACCINATION CARD

    Max. file size: 512 MB.

    4. HCWR BACKGROUND CHECK

    Max. file size: 512 MB.

    5. PHYSICAL RESULTS

    Please download the Physical Exam Form here.

    Once you’re done, or if you already have a signed Physical Exam Form, you can upload it directly below.
    Max. file size: 512 MB.

    6. TB TEST RESULTS

    Max. file size: 512 MB.

    7. CPR CARD BLS

    Max. file size: 512 MB.

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