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Course Interest Form

This is NOT a registration form, but simply an interest list for Nursing courses at HTC. You may be notified IF a new course is added, but please keep checking schedules on the HTC website for course openings.

Please provide HTC with complete information about yourself and the course you would like to see offered:

Student Last Name:

Student First Name:

Day Phone Number:

Evening Phone Number:

Cell Phone Number:

E-mail Address:

Please indicate which course you would like HTC to offer:

Course #:

Course Title:

Campus:

Term: Fall Spring Summer

Time Preference:

Morning

Afternoon

Evening

Weekend

Online

Please hit "Submit" only once - processing will take at least several seconds.

Contact HTC at 952-995-1300 or info@hennepintech.edu