School of Healthcare — Admission Application

Name *

First

Last

Maiden Name

Gender

State of Origin

Name Place of

Place of Birth

City

Date Of Birth *

DD/MM/YYY

Marital Status

Current Address *

Line 1

Current Address

Line 2

Email *

Phone *

School of Health Sciences *

Healthcare Assistant / Certified Nursing Assistant
Healthcare / Hospital Administration
Phlebotomist
Ultrasonography

Mode of Study *

Weekdays - Contact (2 - 3 days of morning or evening sessions)
Weekends - Contact (Saturdays & Sundays)
Weekends - Virtual / Online Sessions (Saturdays & Sundays)

Note: Not all programs can be administered via the virtual / online sessions. Kindly contact our admission counselors for details.

Secondary School Certificate Examination (O' level) *

Choose the most appropriate selection

Highest Qualification *

Application Fee Payment Reference *

Use your name and date of payment as reference or description when making payment for your application. E.g: Anderson 3rd Feb 2024. Payments should be made to our Zenith Bank account, Account number: 1228131060, Account name: SS Cosmas and Damian College Limited. No other means of payment is accepted.