Phlebotomy Program: Application Form - Fall 2025 Cohort

Step 1: Review the program webpage and advising guide prior to applying.

*Website information includes: Advising Guide, FAQ, schedules, cost, supplies, and program expectations (e.g., essential functions, professional behaviors, etc.)
If you are interested in learning more about Financial Aid and Scholarships, please visit the CCC Financial Aid Website

Step 2: Submit program application

You will answer one essay question (see Advising Guide for question and rubric).
You will need to submit the "Vaccine Attestation Form" in this application. Your application will not be considered for review without the Vaccine Attestation Form.
If you need assistance in locating your vaccine records, and you received vaccines in Oregon, please connect with the Oregon State Immunization Registry (ALERT IIS) system. They can provide you copies of any records they have on file.

Step 3: Collect your vaccine records (see Advising Guide for detailed list).

If accepted, you will bring your vaccine records to the mandatory orientation. Students who do not have proof of immunization at the time of orientation, will be deferred to the following cohort.

Note: Do not use the browser back button or your information may be lost. Please use forward and back buttons within the electronic application. If you have any questions or need assistance, please contact healthsciences@clackamas.edu

Application Due:	August 15th
Application Response:	August 22nd
Mandatory Orientation:	September 3rd (time TBA)