Virtual Nursing Information Session

Tuesday, March 4, 2025 at 5:30 PM until 7:00 PMEastern Standard Time UTC -05:00

First Name

Preferred Name

Middle Name

Last Name

Pronoun (Optional)

Email Address

Parent/Guardian Email (Optional)

Mobile Phone Number

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Have you selected the On Campus or Virtual option for this event?

Please indicate the number of guests (please note, limit 1 guest per registrant due to limited capacity)

Military Affiliation

Are you planning to us VA benefits?

JCC Entry Term

Have you applied to Jefferson?

Are you a current high school student?

High school graduation year

High school name

Desired Program of Study

Jefferson also offers career preparation education and training for in-demand careers, such as Phlebotomy Technician, Clinical Medical Assistant, Pharmacy Technician, and Veterinary Assistant, to name a few. Are you interested in learning more about these types of trainings for a new career?

Are you interested in Athletics?

Athletic Program of Interest (May select more than one)

Are you interested in living in the Residence Hall?

Do you require specific accommodations for viewing this information session?

Please describe the accommodations needed, a staff member will assist you with connecting to the session.

Jefferson Community College Website

Virtual Nursing Information Session