CMA-Nursing Program Application Form | Allegany College of Maryland

Application Form for the CMA-Nursing Program

Application Deadline:
May 1

After you submit your applications you should receive feedback that we received your application to the NURSING program. If you have not received feedback within 2 weeks, please reach out to Heather Sloane at hsloane@allegany.edu for on-campus programs or Robin Stayer at rstayer@allegany.edu for the online programs. Thank you.

Last Name:

First Name:

Maiden:

Middle Initial:

Other Last Names used:

ACM Student ID:

Birthdate:

Email:

Phone Number:

Daytime Phone Number:

Address:

City:

State:

Zip:

I am applying for the following program: Cumberland Online CMA-Nursing Program: Fall Semester Only

Did you complete the CMA (AAMA) program at Allegany College of Maryland?

Did you graduate?

Graduation Date:

Did you pass the CMA exam?

Exam Date:

Date of your most recent Certification/Recertification:

Have you completed all of the Allegany College of Maryland Admissions Requirements including College Application for Admission, Placement Test (if needed), and sent Official Copies of all other college transcripts?

If you have attended another college or previously attended Allegany College of Maryland, please complete the following:

Most Recent Institution Attended:

Address:

Dates of Attendance:

Degree or Credit Hours Completed:

Other Institution Attended:

Address:

Dates of Attendance:

Degree or Credit Hours Completed:

Are you currently enrolled in classes at Allegany College of Maryland?

Please Note: To be eligible to apply for the CMA-Nursing Program you must have:
-Completed the CMA (AAMA) program at ACM
-Graduated from the CMA (AAMA) program
-Passed the CMA Exam
-Completed all ACM admissions requirements

If you have not fulfilled all the above, you are not eligible to apply at this time and your application will not be accepted.

I certify that all statements given on this application are true and accurate to the best of my knowledge. My signature on this form indicates that I am aware of the competitiveness of the Nursing Program and understand the admission process.

E-Signature of Applicant:

Date: