Rogue Community College
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Nursing Assistant I Program Application

Agency Support
If you planning to attend this program through an agency or school (high school, RCC Adult Basic Skills, etc.) please name the agency or school and your advisor.

Please read and initial your agreement on the items below:

I certify that I have accessed and read the Oregon State Board of Nursing’s criminal history requirements and policies found in Division 1 of the Nurse Practice Act.
The background check will be a part of the process after completing the course when applying to test for certification.
  • The results of my criminal background check
  • My failure to provide complete and truthful information on my application to test
Do you have any obligations that would prevent you from meeting this requirement?