Medical Assistant Program Application

Asterisk (*) indicates a response is required.

NOTE: If you have not contacted a EICC advisor please do so at: or toll-free: 1-888-336-3907 to sign up for general Education classes for the Pre Medical Assistant program.

General Ed classes are: Bio 163 or Bio 157, and SPC 170, or SPC 112 or ENG 105 or ENG 107 and HSC 113 Med Tem and CPR (need to be current within 1 year of Extern) as listed on the Medical Assistant Fact Sheet.

Student Information

The class is held in a "hybrid" format, meaning students receive lab training in person at the college, while completing much of their coursework online.

The student will need a laptop and internet access to complete the program. Canvas knowledge is necessary. Please speak with Advisor about Online Canvas training.

Academic Records

College Classes

Have you taken college level courses in any of the following and if so, when and where?

It is the policy of Eastern Iowa Community College District not to discriminate in its programs, activities, or employment on the basis of race, color, national origin, sex, disability, age, sexual orientation, gender identity, creed, religion, and actual or potential family, parental or marital status, as required by the Iowa Code §§216.6 and 216.9, Titles VI and VII of the Civil Rights Act of 1964 (42 U.S.C. §§ 2000d and 2000e), the Equal Pay Act of 1973 (29 U.S.C. § 206, et seq.), Title IX (Educational Amendments, 20 U.S.C. §§ 1681-1688), Section 504 (Rehabilitation Act of 1973, 29 U.S.C. § 794), and Title II of the Americans with Disabilities Act (42 U.S.C. § 12101, et seq.).

If you have questions or complaints related to compliance with this policy, please contact EICC’s Equal Employment Opportunity Officer/Equity Coordinator, Eastern Iowa Community College District, 101 West Third Street, Davenport, Iowa 52801, 563-336-5222, or the Director of the Office for Civil Rights U.S. Department of Education, John C. Kluczynski Federal Building, 230 S. Dearborn Street, 37th Floor, Chicago, IL 60604-7204, Telephone: (312) 730-1560 Facsimile: (312) 730- 1576, TDD (800) 877-8339

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