Welcome to the Nursing Assistant Program, Fall 2022 (cohort) Application

Important Message

Before submitting the application, you must have a Mission College or West Valley College Student ID number.

If you do not have a Mission College Student ID (it starts with "G0") you must apply for Mission College Summer/Fall 2022 term through CCC Apply.

If you are a former student of Mission College use our tool to find your student ID number.

Submit your application AFTER you receive a Welcome Message and your Student ID number from Mission College.

Click on the white arrow (in the green circle) to continue...

MISSION COLLEGE

Nursing Assistant Program

Fall 2022 (cohort)

No priority is given to applications according to date submitted, as long as it's submitted within the application period.

 The application period for the Fall 2022 cohort opens May 13, 2022 at 10 am and closes June 13, 2022 at 4 pm.


Eligibility Requirements

  • MANDATORY Fingerprinting will be completed during the second class session
  • See CDPH website for FAQs regarding criminal record review
  • All applicants must be at least 18 years of age*
    (*except by special arrangement)
  • Must have a Valid ID (State of California DL/ID or US Passport)
  • Must have a social security number or iTIN number

Click on the white arrow (in the green circle) to continue...

Are you at least 18 years of age?*
ALL applicants must be at least 18 years of age except by special arrangement. For additional information email Cynthia Anderson (cynthia.anderson@wvm.edu).
Do you have a Mission College Student ID (it starts with "G0")?*
If you selected "No" go to CCC Apply https://www.opencccapply.net/gateway/apply?cccMisCode=492 to become a student of Mission College; resubmit the application AFTER you receive a Welcome Message from Mission College.
Use our tool to find your ID# https://web.wvm.edu/whatsmyid/gnumber
Name*
Address*
Are you a veteran of the U.S. Armed Forces?*
Provide copy of DD Fom 214 (Report of Separation) via email to Cynthia Anderson (cynthia.anderson@wvm.edu).
Do you have a valid Social Security number (SSN) or Individual Taxpayer Identification Number (ITIN)?*
Do you have a valid Driver License (DL) or Identification (ID) card issued by Department of Motor Vehicles, State of California?*
Have you ever been convicted of a crime?*
** CDPH requires a Live Scan fringerprinting at the beginning of the program and certain convictions may disqualify a student from being able to take the state certification exam.
Selection of applicants into the Nursing Assistant Program is based upon information stated on the application. By submitting this application, I acknowledge that I have read and understand the entrance requirements for the Nursing Assistant Program at Mission College. I also acknowledge that I am aware that, due of the number of applicants for the program, completion of entrance requirements does not assure my selection for the program. I understand that the California Department of Public Health may deny my certification due to prior convictions. I certify that all information included in this application is true and complete. I understand that admission in the Nursing Assistant Program at Mission College may be denied if any information I have provided on this application is found to be incomplete or inaccurate. Your signature is your certification of the accuracy and completeness of the information you have provided.
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