Falcon Institute of Health and Science

Name *

Phone

Email *

Do you have a high school diploma? *YesNo

Name of the high school you graduated from *

State *

Country *USAOutside of USA

Which program are you interested in? *LPN Full-Time (12-month Program)LPN Part-Time (18-month Program)Nurse Aide Training ProgramMedical Assistant Program

Are you a citizen of the United States? *Citizen of the United StatesPermanent ResidentNone of the above

Do you have any education after High School? *NoneAssociate or Higher from USAAssociate or Higher from outside USA

Please pick one time slot that works for you for our admissions coordinator to contact you during the weekdays: *9:00 am to 11:00 am11:00 am to 2:00 pm2:00 pm to 4:00 pm4:00 pm to 6:00 pm