Home > Continuing Ed > NCLEX-RN Prep Session Registration Form

NCLEX Registration Form

Click here to see dates of upcoming sessions.

*

First Name:

*

Last Name:

*

Email Address:

*

Phone Number:

*

Name of Nursing School:

*

Date of Graduation from Nursing School:

*

Name of Regulatory Body you have applied (ie. CRNNS, NANB, ARNPEI): 

*

How many times have you attempted the national licensure exam (e.g., NCLEX-RN, CRNE)?

I am interested in an one hour consultation session regarding the NCLEX-RN exam.

 Yes

I am interested in the online NCLEX prep session.

 Yes

*

Name of Current/Most Recent Grad Nurse Employer:

Please select preferred date of online session: