Step 1 of 4 · Application

Student Application

Complete every required field, sign at the bottom, then pay the $90.00 non-refundable application fee. Your admissions portal opens automatically once the fee is paid.

Personal information

Use your full legal name as it appears on your photo ID.

First name *

Middle name

Last name *

Date of birth *

Email address *

Phone number *

Street address *

City *

State *

ZIP *

Program of interest

Choose one program. You can request a change later with admissions.

Loading programs…

Education

Highest education level *

High school name

Graduation year

Have you completed a GED?

Yes

Have you attended college?

Yes

Employment & emergency contact

Employment status *

Employer name

Emergency contact name *

Relationship *

Emergency contact phone *

Admissions questions

Have you previously enrolled in a healthcare training program?

Yes

Have you ever been dismissed from a training program?

Yes

Do you currently hold any healthcare certifications?

Yes

How did you hear about CMA?

Certification & signature

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that submitting this application does not guarantee admission into Compassionate Medical Academy.

Type your full legal name *

Applicant signature *

Sign with your finger, stylus or mouse. Your signature is stored with the signed document.

Still needed: First name, Last name, Date of birth, Email, Phone, Street address, City, State, ZIP code, Program of interest, Highest education level, Employment status, Emergency contact name, Emergency contact relationship, Emergency contact phone, Certification checkbox, Typed legal name, Signature

Compassionate Medical Academy

Home Sign in Contact