School of Health Sciences Application Form

Thank you for your interest in applying for one of the Reading Hospital School of Health Sciences programs. Please use this form if you are applying for a program. Use this form to submit either via check or credit card. For more information, please contact the school at 484-628-0100.
* Denotes required fields

Admission Program

* Program Please select your program of interest. If you are interested in multiple programs, we strongly encourage you to call the Admissions Office at 484-628-0109 to learn more about our program options and requirements.
* Do you plan to
* Are you a former RHSHS seeking re-admission?
* Are you a Licensed Practical Nurse?
* Are you a certified Emergency Medical Technician?

Citizenship

Please choose one. If neither a US citizen nor permanent resident, do not proceed - call the School at 484-628-0100 for further instruction.

* Are you a United States citizen?
Permanent Resident? A copy of permanent resident card is required to complete your applicaiton.

Contact Information

Please use your name as it appears on your Social Security card. If the applicant’s name is not correct as shown on the card (for example, because of marriage or divorce) the applicant should request a new card from the Social Security Administration. This is critical for your transcript, financial aid, and eventual licensing processes. The School will continue to use the old name until the applicant shows documentation that the applicant’s name has been changed through Social Security Administration.

Temporary Address

* Are you a permanent resident of Berks County, PA?
* Are you under the age of 21?