Practical Nursing Certificate Application

Instructions

This is a program-specific application for Practical Nursing Certificate (PNC). It is separate from the general GCC admission application.

New applicant to GCC – you must complete both:
1. The general admission application and select Practical Nursing Certificate as your intended major.
2. This program-specific application
Current GCC students – you must complete all:
1. This program-specific application
2. Submit a change of major for form to Pre-Nursing/LPN Intent (NUC)
3. Have a minimum GPA of 2.0 maintained from time of application through completion of the program

Before you apply, please review the Practical Nursing Certificate Program page for application process, admission criteria, program requirements, deadlines and costs.

Applicant Information

We are required to collect your legal name. Please use the "Chosen Name" field to let us know how to address you.

Legal First Name

Legal Last Name

Chosen First Name

Date of birth is used to match any previous records you may have in our database. This information is not shared with any external entities.

Birthdate

Personal Email Address

GCC Email Address

GCC Student ID

Semester Start

Were you previously enrolled in the GCC Practical Nursing Program?

Select the most recent semester you were enrolled

Are you currently enrolled in Fall 2026 or January intersession 2027 college classes?

Healthcare Credentials

Admission Criteria & Requirements

Please review the admission information packet, application process, admission criteria, health requirements (including immunization requirements), technical standards and occupational risks that are outlined on the Practical Nursing Certificate Program page before submitting your application.

Agreement to Terms of Acceptance

I understand that by submitting this application, I indicate that I have read and understand the admission criteria and requirements.

Electronic Signature

Click to Sign...

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