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Hartnell College Medical Coding Program

Application Form
  • Fill out the following application.
  • Please check which one of the STARR Assessment Test dates below you will attend. If you have already taken the STAAR Assessment exam, or are a current Hartnell College student and have taken English 253 or higher, or have an Associates Degree or higher from another academic institution please see below.
  • You may be contacted for a follow-up interview.
  • After submission we will contact you about acceptance into the program.
  • If you are accepted, you may then register for the program.

Contact Information ( * denotes required fields)

Preferred Program Date: *
Name: (first, middle, last) *
Address:
City:
State:
Zip Code:
Preferred Phone: [Include Area Code]
Alternate Phone: [Include Area Code]
Email: *
STAAR Asssessment you will attend: *
If you have already taken the STAAR Assessment exam, or are a current Hartnell College student and have taken English 253 or higher, or have an Associates Degree or higher from another academic institution please list specifics and dates of attendance:
What is your educational background? (High school/college/other, location, dates)
Are you currently working? If so, how many hours per week?
Have you ever taken a Medical Billing or Coding course? If yes, please explain.
Are you currently working or ever worked in a medical setting? If yes, please explain.
Are you currently attending any college courses? If yes, please list.
This program will require 12-15 hours per week of reading, homework, and study time. How confident are you in being able to do this for the entire 11-month program?
What is your current typing speed? (please be honest, you will be tested)
Why are you interested in this program and Medical Coding as a career?
How did you hear about our program?
Any additional information you’d like us to know?