Online Application

surgical technology Program

Part 1 of 3

Thank you for selecting Center for Allied Health Education (CAHE)!

You have now committed to STEP 1 in the admissions process (Online Application).There is no fee required to submit your application.Once the application below is complete applicants will be emailed with the next step for their program. Please note that all documents on the APPLICATION CHECKLIST must be submitted to the Admissions Department prior to the scheduled interview date.

Program

Program Applying for: *

Cohort Beginning *

Please select a Medical Assistant Cohort*

Please select a Surgical Technology Cohort*

General Information

Legal First Name *

Legal Middle Name

Legal Last Name *

Mobile Number *

Alternate Phone

Email *

Address *

City *

State *

Zip Code *

I understand that in order to proceed, I must be at least 18 years of age or older prior to the first day of class.

Center for Allied Health Education does not discriminate on the basis of race, sex, religion, national origin, age, disability or marital status in its admissions and/ or employment policies.