WLAC Medical Assistant
Medical Assistant
Monday, November 19, 2018 (4:00 PM - 7:00 PM)
3rd Mandatory Application workshop. All students applying into the program and attending information session on Nov. 07, must attend this session to turn in complete application. MSA 108
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Participant Information
Last Name * First Name * Middle Name
 /  / 
Birth Date (Format MM/DD/YYYY) * Street Address * City * State * Zip Code *
Contact By:
Phone *
Email Address *
(Mark All That Apply)
Are You Employed? * Do You Have A LACCD Student ID? * Are You A Middle School Or High School Student?
* Required