Inquire / Application Information

Personal Information : EKG Monitor Technician Application Personal information

Last Name

First Name

Middle

Suffix

Prefered Name (NickName)

Other Last Name

Government ID-SSN

DO NOT PLACE ANY DASHES example: xxxxxxxxx

Date of Birth

(mm/dd/yyyy)

Mailing Street Address

Mailing Address Line 2

City

Country

State / Province

Postal Code

If Permanent Address different please add below.

Permanent Address

Permanent Address Line 2

City

Country

State / Province

Postal Code

Please make sure to type your email address correctly. This email address will be used to notify you of your admission status. Use only a gmail or yahoo email, when applying.

Email Address

Please do NOT place any dashes in the phone number fields.

Permanent Phone No.

Ctry

Cell Phone No.

Ctry

Please make sure to select the correct application period.

Application Period

Unfortunately Covenant School of Nursing and Allied Health is not equipped to accept foreign students. Therefore all applicants must be U.S. Citizens or have established Permanent Residency.

Country of citizenship

Residence Country

Residence State / Province

Residence County

Enter in the persons County of Residence

Selection must match with the application period.

Affiliation Class

EKG Monitor Tech Student Starting 2026SP

required and optional