Spring 2026 Nursing Registration Form

Name*

First NameMiddle NameLast Name

COTC ID Number*

If you do not know this, you can locate it on myCOTC on the Update Personal Information card under Update Contact Information.

Date of Birth*

Date

COTC Email*

lastname-#####@cotcmail.cotc.edu

Phone Number*

Phone number including area code

Which nursing program were you selected into?*

ADN (Associate Degree Nursing)LPN to ADN (Licensed Practical Nursing to Associate Degree Nursing)PN (Practical Nursing)

Important Information for All Nursing Students:

Required for registration; all students must accept their Student Financial Resposibility Agreement. For instructions on how to accept, review this link: https://www.cotc.edu/new-student-financial-responsibility-agreement-spring-2023-0.

First, review the schedule for preferred course options. The schedule is viewable through Student Planning on myCOTC.

Nursing course sections have limited seating. Enter your 1st, 2nd, and 3rd choice (if there is an option) for a each course section preference. Please do not list the same section for all three options.

Please use the drop downs to choose the preferred section(s) of each course.The drop downs for the general education courses have options to indicate if you have already taken the course. A response is required in all fields of the registration box. If you have already completed a general education course(s), please list the same response 3 times.

Important Information for LPN to ADN students:

You are required to provide a first and second choice for your nursing courses.

LPN to ADN Newark Cohort is limited to NURS 117 sections J or K only and NURS 210-A.

Important Information for Paramedic to ADN students:

You can only be register for NURS 216 WA. Please select 'WA' as your 1st, 2nd, and 3rd preference.

ADN*

	NURS 107	NURS 115	MATH 130	PSY 100	BIO 130	EMS 100 9am-4pm
1st Choice
2nd Choice
3rd Choice

LPN to ADN*

	NURS 210	NURS 117 Newark (J & K) Pataskala(WB)	SPCH 210	BIO 131	EMS 100 9am-4pm
1st Choice
2nd Choice
3rd Choice

PN*

	NPN 109	NPN 118	MATH 130	BIO 121	EMS 100 9am-4pm
1st Choice
2nd Choice
3rd Choice

Paramedic to ADN*

	NURS 216	MATH 130	ENGL 100	BIO 130
1st Choice
2nd Choice
3rd Choice

By clicking this button, I understand that I must have tuition and fees paid according to the published fee payment deadline or I must make arrangements with Student Financial Services. If not, I may be dropped from classes, may be unable to re-register for my original schedule and may be assessed additional fees. *Please note, a separate form must be submitted to officially request the course substitution.

Signature*

This signature is confirmation that the registration form I have filled out is my own work and the information is factually true.*

I certify my signature

Spring 2026 Nursing Registration Request