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School of Nursing & Healthcare Leadership

First Name

Last Name

Email Address

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	Program of Interest
RN-BSN	RN-BSN
BA Healthcare Leadership	BA Healthcare Leadership
MN	MN
Early Enrollment BSN (first year RN students at TCC, Pierce or Highline)	Early Enrollment BSN (first year RN students at TCC, Pierce or Highline)

Expected Year of Attendance at UWT

Expected Quarter of Attendance at UWT

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