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11 Months 11 Months and Out
Get In, Get Out, Get Paid
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Call 317-937-5127; or stop by 2039 N. Capitol or Room B180 on the main floor of Methodist Hospital...to pick up more detailed information.
11 Months:  317-937-5127 To receive detailed information, complete the form below.
First Name:
Last Name:
Address:
City:
State: Zip:
This is my: work home address.
Daytime Phone: () Evening Phone: ()

My most recent level of education is:

GED Some College # Semesters
High School Diploma Associate Degree
Military Training Baccalaureate Degree
Vocational/Technical Training Postgraduate Degree

I heard about the 11 Months Program through (check all that apply):

Surfing the Web Career Day or Career Fair
Radio Ad School Teacher or Counselor
Newspaper Ad Promotional Mailing
Pathfinder Newsletter Visiting Clarian's Human Resources Department
My Case Manager Other:
Friend, relative, or former student

My age is:

Under 18 36-45 66 and older
18-25 46-55  
26-35 56-65  

I am currently a Clarian Health employee:  Yes     No

I would like for you to send me the following information*:

General brochure of all programs
Medical Assisting program booklet
Surgical Technology program booklet
Pharmacy Technician program booklet
Core Course Schedule and Core Course Registration Form

 *Each program booklet includes information regarding financial assistance,
expected earnings potential, job outlook, and all the forms you need to apply to the program.

This is why I'm interested in a health career:

My current experience with health career work is:

Here's what I think about your web site (likes/dislikes, how you can improve it, etc.):

I called the 937-5127 number and would like to offer the following comments:


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All of our certificate programs are fully accredited. In addition to meeting national standards in education, this means that the programs prepare the students to take the national certification exam(s) that are required to practice in those fields.

Clarian Health Education Center

2039 N. Capitol · Indianapolis  IN   46202
317.937.5127

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