The Christ College of Nursing & Health Sciences

Please complete and submit this form by your designated matriculation date to confirm your enrollment and admission to the Christ College of Nursing and Health Sciences.

Name and Contact Information

Student First Name

Student Last Name

Suffix

Student Birthdate

Use single arrow to change month; Use double arrow to change year

Student Email

Verify Email

Street Address

City

State or Province

Zip/Postal Code

Country

Enrollment Confirmation

Please complete your program and enrollment confirmation below.

Enrollment Confrimation

Program Confirmation

Please check the box if you are any of the following.

Alumni of the Christ College of Nursing and Health SciencesAlumni of the Christ Hospital School of NursingEmployee of The Christ Hospital Health NetworkI am NOT an alumni of the college or employee of the networkI am a current student of TCCNHSI am employed at a healthcare organization or facility

If you checked alumni above what year did you graduate?

For RN to BSN please choose one of the following options

Part-time (2 year program)Full-time (1 year program)

Matriculation Fee Payment Information

Based on your program you are required to submit a matriculation fee to secure your enrollment. Please click on an option below and submit your payment by your designated due date. You may refer to your acceptance email or packet for your designated due date.

If you wish to pay by check, money order or cash please stop by the Student Accounts Office, room 127, to complete the enrollment confirmation. The Office is open Monday – Friday 8 am – 4pm.

Please Choose Payment Method

MasterCard/Visa/Discover/American Express

Matriculation Fee Payment Information by Credit Card

To pay your Matriculation Fee by Credit/Debit card, please complete the information below (information will be destroyed immediately after processing)

PLEASE NOTE: Credit card information will be processed by the next business day.The matriculation fee is a non-refundable fee.

Amount to be charged

Card Holder Name

Street Address

City

State

Zip/Postal Code

Card Number

Typically found on the back of your card, security code is a 3 digit or 4 digit number.

Card Expiration Month

Card Expiration Year

Signature

I authorize a one-time payment of $200.00 with the credit card information I provided above towards the student's tuition account to The Christ College of Nursing and Health Sciences

For questions regarding payment please contact Sandy Haungs at sandy.haungs@thechristcollege.edu

Matriculation Fee Waived

Matriculation Fee is waived for students confirming enrollment in the Bachelor of Science, Health Care Administration, RN to BSN completion program or Associate of Science, General Studies.

Matriculation Fee

Waived

Background Check Information

All students accepted into the nursing programs at The Christ College of Nursing & Health Sciences (TCCNHS) must successfully complete a criminal background check with a satisfactory outcome as a condition of enrollment 2-3 months before starting classes. Previous background checks or background checks completed by another vendor will not be accepted. Please visit: www.thechristcollege.edu/enrollment-steps for additional information. There are no exceptions to these requirements. Students who do not comply will not be allowed to continue enrollment at TCCNHS.

Please note that a past felony or misdemeanor conviction may disqualify a student from entering a clinical setting. Background checks are a requirement of TCCNHS in collaboration with our clinical partners.

By submitting this form you are agreeing to the terms and conditions of your enrollment and the information provided on this form is true and accurate to the best of your knowledge.

Enrollment - Matriculation Fee Form