Main Campus: 985-419-2050 | 42353 Deluxe Plaza #16, Hammond, LA 70403
Extension Campus: 985-364-0240 | 710 Brownswitch Road, Slidell, LA 70458

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Student Information

First name

Middle Initial

Last Name

Date of Birth

Social Security #

Sex *

FemaleMalePrefer not to say

Phone

US Citizen *

YesNo

Email Address

Permanent Address

City

State *

ZIP Code

Mailing Address

City

State *

ZIP Code

Emergency Contact Person

Emergency Contact Phone

Admissions Information

Program of Study *

Nurse Aide Training (Hammond)Medical Billing and Coding (Hammond)Cosmetology (Hammond)
Cosmetology (Slidell)Medical Assistant (Hammond)Practical Nurse (Hammond)

Do you have a high school diploma or equivalent? *

YesNo

If "Yes", name of high school / equivalent

Year Graduated

If "No", highest grade completed

Year

List All Previous Colleges/Schools Attended:

Have you ever been dismissed, dropped, or suspended from any college, university, or school? *

YesNo

If yes, when and where:

Are you currently enrolled in another school? *

YesNo

If yes, where

Have you ever been enrolled in another school? *

YesNo

If yes, where

Cosmetology Applicants only - Have you ever been enrolled in another Cosmetology program?

YesNo

If yes, where

IMPORTANT NOTICES:

If you have transfer credits from another school you wish to apply toward your program at Compass you must submit these for consideration prior to signing the enrollment agreement. No more than 50% of your program clock hours can be transfer hours.
If you are eligible to receive benefits from a Veteran’s Assistance program you must submit transcripts from all previous colleges/schools attended.
Consumer Information disclosures may be accessed via the institution website at: http://www.compasscareercollege.net/consumer-information.html

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I attest that the statements made in this application are true and correct to the best of my knowledge. I understand that withholding information or giving incorrect information may make me ineligible for admission and result in the cancellation of my enrollment in Compass Career College.

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Date:

PLEASE ONLY CLICK THE SUBMIT BUTTON ONCE. It can take a short time for your application to send.

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Practical Nurse
Allied Health
Cosmetology

Main Campus & Admissions
42353 Deluxe Plaza #16, Hammond, LA 70403
985-419-2050

Extension Campus
710 Brownswitch Road Slidell, LA 70458
985-364-0240

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