NCNM University Online Enrollment Application

This is the online version of our enrollment application. Application is considered incomplete with failure to upload required documents. You may save your application and resume later once all documents are available to upload. Application packet must be received by the deadline for the program you wish to enroll in. Please see Academic Calendars to determine feasible enrollment schedules. NCNM University does not discriminate on the basis of race, religion, creed, sex, age, marital status, disability, national origin or sexual orientation in its educational programs, activities or employment practices. Application requires uploads for completion. You may return to your application and resume later once all documents are available to upload.

NCNM University Application Fee (non-refundable)

Pay $100 non-refundable application fee. (There is a 3% Convenience fee for credit card processing.)

Which Academic Program are you seeking enrollment for? *

Doctor of Naprapathy (DN) Program (3-4 year program)

Pre-Naprapathy Program (1 - 2 year Program)

Naprapathic Assistant (36 week program)

Advanced Degree DN (2-3 year program) (Applicant w/ U.S. Masters or Doctorate degree already)

DN Bridge Program (2.5 year program) (Applicant has DN Degree from another institution)

Advanced Degree DN Candidate (Applicant with Masters or Doctorate degree already). DN Bridge Program Candidate (Applicant has DN Degree or similar from another institution)

If other, please share how you learned about NCNMU

Proposed Enrollment Term/Type

What term are you enrolling for? *

2026 Spring Quarter

2026 Summer Quarter

2026 Fall Quarter

2027 Winter Quarter

Quarters are 12 weeks in length. Applicants have 1 year to begin their studies before a new application is required to complete.

Type of Enrollment *

Full Time

Part Time

Student At Large (at your own pace)

Student At Large (at your own pace)*note special terms for student-at-large*

Which campus do you seek admission? *

Have you previously applied to NCNM University? *

Yes

If yes, please indicate the year applied

General & Demographic Information

Salutation *

Dr.

Mr.

Mrs.

Ms.

First Name *

Last Name *

Date of birth *

***Used for Statistic and Demographic Information***

Email *

Phone *

Address

Street Address

City

State

Country

Postal Code

Gender *

Male

Female

Prefer Not to Respond

***Used for Statistic and Demographic Information***

Marital Status *

Single

Married

Divorced

Widow

***Used for Statistic and Demographic Information***

Ethnic Background: (please check all that apply) ****Used for Statistic and Demographic Information***

Please specify "Other" Ethnic Background (if applicable)

Please specify (Hispanic or Non-Hispanic) *

Hispanic

Non-Hispanic

***Used for Statistic and Demographic Information***

Are you a US Citizen? *

Yes

***Used for Statistic and Demographic Information***

If Not US Citizen, please specify *

Permanent Resident

Visa

Other

Please specify Type of Visa (if applicable)

Nation of Citizenship *

Please name Country of Citizenship

Please tell us your Native Language *

Do you have any U.S. Military Service? *

Yes

***Used for Statistic and Demographic Information***

Branch of Service

***Used for Statistic and Demographic Information***

If Military Service and Branch of Service indicated, please select one of the follwing:

Active Duty

Veteran

***Used for Statistic and Demographic Information***

Emergency Contact #1

Emergency Contact #1 Name *

Relationship of Emergency Contact #1 to applicant *

Emergency Contact #1 Cell / Mobile Phone Number *

***We will not share or disclose this information (for internal use only)***

Emergency Contact #1 Address *

***We will not share or disclose this information (for internal use only)***

Emergency Contact #2

Emergency Contact #2 Name *

Relationship of Emergency Contact #2 to applicant *

Emergency Contact #2 Cell / Mobile Phone Number *

***We will not share or disclose this information (for internal use only)***

Emergency Contact #2 Address *

***We will not share or disclose this information (for internal use only)***

Education History

NCNM University does not discriminate on the basis of race, religion, creed, sex, age, marital status, disability, national origin or sexual orientation in its educational programs, activities or employment practices.

1) Institution Name *

Dates Attended
Area of Study or Major
Diploma or Degree Awarded

Institution (1) Name

2) Institution Name

Dates Attended
Area of Study or Major
Diploma or Degree Awarded

Institution (2) Name

3) Institution Name

Dates Attended
Area of Study or Major
Diploma or Degree Awarded

Institution (3) Name

4) Institution Name

Dates Attended
Area of Study or Major
Diploma or Degree Awarded

Institution (4) Name

Upload Degree or Diploma

Please upload any and all degrees, diplomas and / or certificates.

Additional Education History Upload

Education History Upload

May upload list of education history. List all secondary and post-secondary institutions attended, in chronological order, beginning with the most recent attended. Please be sure to include your name on additional sheets so we may match it with your application.

Are you currently or have you ever been charged with or subject to disciplinary action for scholastic or any other type of misconduct at any educational institution? *

Yes

If Yes to Academic Disciplinary Action, please explain

Are you currently or have you ever been charged with or subject to disciplinary action for scholastic or any other type of misconduct at any educational institution?

Have you ever been charged with a violation of the law which resulted in, or if still pending could result in, probation, community service, a jail sentence, or the revocation or suspension of your driver’s license (including traffic violations which resulted in a fine of $200 or more?) *

Yes

If yes to ever been charged with a violation, please explain

Employment History, Extracurricular, Personal and Volunteer Activities

You may provide additional information which you feel might be relevant to the admissions process. This could include your resume, record of community service and leadership, personal achievements, academic distinctions, and /or a brief letter outlining your reasons for choosing this program.

Your Linked In Profile URL

Please provide the link for your "Linked In" profile ***leave blank if not applicable***

Please Upload Your Resume and/or Curriculum Vitae (CV)

Attach an additional Word, PDF or text document if necessary.

May we contact the listed places of Employment? *

Yes

N/A ( I don't have employment history)

Extracurricular Activities

List your organizations, position, description of the activity, and hours per week of involvement. Please be sure to include your name on additional sheets so we may match it with your application.

Talents and Awards

List each, a description, the level, and number of years of involvement.

Community Service Work

List the type of work, your role, and hours per week of involvement.

Additional Professional Licenses

Do you have other medical / professional licenses?

Yes

Additional License (1)

License Name
License Number
State of License

Additional License (2)

License Name
License Number
State of License

If yes to other medical / professional license, please upload copy of license...

Upload Professional License

Application is considered incomplete with failure to provide other medical or professional license if applicable. You may save your application and resume later once all documents are available to upload.

Have you ever been disciplined on any professional license(s)? *

Yes

N/A I have no professional license(s)

N/A I have no other professional license(s)

If yes to disciplined professional license, please explain if applicable...

Uploads / Additional Documentation

Upload Copy of Government issued photo ID (Front & Back) *

Upload Copy of Government issued photo ID (Front & Back)

Government Issued ID must also display an address. ***for internal use only*** pdf, jpeg and jpg files accepted. Application is considered incomplete with failure to provide government issued photo ID. You may save your application and resume later once all documents are available to upload.

Submit 2–3-minute Video Statement: “Why I am applying to NCNMU” *

Submit 2–3-minute Video Statement: “Why I am applying to NCNMU”

In lieu of a lengthy application letter, tell us in a 2–3-minute Video Statement: “Why I am applying to NCNMU”. Allow us to meet you before formal interviews and share your motivations, ambitions and aspirations. How do you believe NCNM University can help you reach your dreams and professional goals? Application is considered incomplete with failure to provide your verbal statement/application letter. You may save your application and resume later once all documents/files are available to upload.

Letters of Recommendation: 1 Professional source and 1 Personal source *

Letters of Recommendation: 1 Professional source and 1 Personal source

Letters of recommendation may be uploaded or sent directly to the university ***for internal use only*** docx and pdf files accepted. Application is considered incomplete with failure to provide letters of recommendation. You may save your application and resume later once all documents are available to upload.

APPLICATION CHECKLIST

APPLICATION CHECKLIST

The entire application form is completed, signed and dated.

A copy of a government issued photo ID is uploaded.

All official transcripts are sent directly to NCNM University from institutions listed on application.

Include 2 letters of recommendation: 1 Professional source and 1 Personal source (may be uploaded)

Submit 2–3-minute Video Statement: “Why I am applying to NCNMU”. (Send to [email protected])

Pay $100 non-refundable application fee. (There is a 3% Convenience fee for credit card processing.)

Application is considered incomplete with failure to provide required documents. This applies to both online applications and applications sent by postal mail. You may return to your application and resume later once all documents are available to upload.

Application Checklist Confirmation *

Yes, I understand and agree to the terms listed above.

Naprapathic Treatment Acknowledgement

“I hereby acknowledge that I have been informed of and understand that Naprapathic treatments, Massage therapy and other physical or athletic training primarily involves using the hands in physical, skin to skin contact with the patient for manual manipulation of the connective tissues (muscles, ligaments, etc.) and other tissues of the human body. I further understand that the practice of Naprapathic Medicine (including all other physical medicine curriculums offered at NCNM University) can require the application of significant manual pressure on the body of the patient, and that Naprapathic practice can also require the careful observation of the movements of a patient. I hereby consent to such physical contact to my body by others, and I hereby consent to making such physical contact with others to the extent such procedures are a scheduled part of the Naprapathic Curriculum and affiliated studies of NCNM University.” *

Yes, I understand and agree to the terms listed above.

DECLARATION

I hereby apply for admission to NCNM UNIVERSITY. I understand the application fee covers the cost of processing the application and is not refundable. I agree to the release of any transcripts and test scores to this institution, including any SAT, Achievement Test, and ACT score reports. I hereby affirm and declare that all statements contained in this application for admission are true, correct and complete and that I have not misrepresented or withheld any fact that would, if fully and accurately disclosed affect my application unfavorably. I understand that false statements, misrepresentations, and / or omissions on this application may be considered sufficient cause for rejection of this application, or, if successfully admitted, suspension or expulsion from NCNM University upon discovery of any such false statement. I understand that making false or fraudulent statements within this application or residency statement will result in disciplinary action, denial of admission and invalidation of credit or degrees earned. If admitted, I agree to abide by the policies and the rules and regulations of the University. Should any information change prior to my entry into the University, I will notify the Admissions Department. I understand that the application fee I submit with this application is a non-refundable fee. *

Yes, I understand and agree to the terms listed above.

Thank You for completing the

NCNM University Enrollment Application.

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Signature (NCNMU Application) *

Clear

NCNMU Application Date *