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Roxborough Memorial Hospital School of Nursing

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Create Online Application


Complete and submit this form to create an online application. All fields are required. Your PIN must include at least 8 characters and contain at least two of the following: uppercase letters, lowercase letters, numbers, and symbols. If you have ever been issued an ID and PIN at this school you may use them to create a new application by using the form below.
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If you have ever been issued an ID and PIN at this school you may use them to create a new application. Otherwise complete the form above.
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