TEAS Registration Form

TEAS Test

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Name*

First Last

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Campus where you will be testing*

Beloit

Hays

Hays Test Dates*

Beloit Test Dates*

Name

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Thank you for signing up for a TEAS test.

If you have additional questions about signing up for the TEAS test please let us know. Also, if these dates do not work with your schedule, please contact:

Beloit Campus – Echo Boden, eboden@ncktc.edu

Hays Campus – Mitch Harris, mharris@ncktc.edu

TEAS Registration Form

TEAS Test

Beloit Campus

Hays Campus

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