Step 1 of 2 50% Name* First Last Gender*MaleFemaleNonbinaryBirthdate*Submit Birthdate: MM/DD/YYYYRace* African American and Black American Indian and Alaska Native Asian Hispanic and Latino Native Hawaiian and Pacific Islander White Bellevue College ctcLink ID*9-Digit Student Identification NumberPhone number*Bellevue College Email Address*Your @bellevuecollege.edu email address Quarter you are applying for:* Summer 2025 Fall 2025 Winter 2026 Spring 2026 Castle Branch To-do List Summary Report*Bellevue College’s NAC program uses the Castle Branch system to manage all admission requirements. Please upload a copy of your Castle Branch To-do List Summary Report documenting completion of all NAC admission requirements. Where do I find this?Max. file size: 5 MB.Functional Abilities Required for Nursing Assistant Program*Read the Functional Abilities Required for Nursing Assistant Program By checking this box, I confirm that I have read and understand the Functional Abilities Required for the Nursing Assistant Program. COVID-19 Vaccination Acknowledgement*Students at any external sites or practicum are required to follow the business, local, state, and federal requirements. This may include vaccination requirements. Bellevue College does not make any guarantees of placement for practicum or external sites to students not fully vaccinated for COVID-19. Practicum facilities and businesses may deny not fully vaccinated students or students without a booster shot(s) access to their site which may result in an inability or delay to fulfill academic requirements. Alternatives to clinical work and site placements may not be available and these students may not be able to finish the program. By checking this box, I acknowledge that I have read and understand the HSEWI COVID vaccine statement (link). Admission Acknowledgement* By checking this box, I acknowledge that I have read the NAC Application Instructions and understand that my application will not be processed until all required documents have been completed in the Castle Branch system. Failure to complete these requirements by the posted deadline may prevent me from being accepted into the program for the quarter I have selected. Last Updated December 17, 2020
