Health Related Professions Application

**Dear Applicant,

You only need to submit ONE application. You will NOT get an email confirmation once complete. Please print the final page for your records if needed.

For questions related to the nursing application, please go to www.northeaststate.edu/nursing.

Please use this form to apply for Health Related Professions.
Contact Sandy Baker at sdbaker@NortheastState.edu or 423.323.0238 if you have any questions.
The Health Professions application does not guarantee an interview or placement into any Health Professions program. This form will close 4:30 p.m., October 15, 2026.

First Name*

Last Name*

Middle Initial

Student ID*

Address*

Phone*

Email Address*

Have you completed all the general education requirements?*

Yes

Select program by order of preference, choosing only those for which you would like to apply.*

Select First Choice

Required Fields *