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To submit an application to our school, please complete the following form and select Submit Application.

There is a fee of $50.00 associated with this application.

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All Pop-up blockers MUST be disabled to continue with this form. Your application will not be accepted until the $50 application fee is paid. A secondary window will pop up after you select submit in order to pay the $50 application fee. (MUST ALLOW POP-UPS) If you have questions, please call 1-800-658-4655. Due to specific entrance requirements to our Nursing Programs, please contact Sandy Gottschalk at for the Hays Campus and Patti Scott at for the Beloit Campus for additional information. The North Central Kansas Technical College does not discriminate on the basis of sex, race, color, religion, national origin, age, handicap or marital status in admission or access to, or treatment of, or employment in its programs and activities. If you have any questions regarding the above, please contact the Dean of Instructional Services, PO Box 507, Beloit, KS 67420 (1-800-658-4655).

Personal Information
Address Information
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Contact Information
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Demographic Information
Ethnicity and Race Information
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Academic Information
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Emergency Contacts

Education History

  1. Degrees


School Policy
  1. Select "I accept" to confirm that you have read and fully understand the terms and conditions set forth in our Application Policy

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