• Application Purpose and Guidelines:

    The purpose of this application is to document the skill set of the Medical Assistant Certificate Training candidate. This enables the Selection Committee to properly assess each candidate’s skills, abilities, background and motivation to succeed. Our goal is to select candidates who will be successful in the program and become competitive for employment.

    Submit the Completed application and supporting documents* to:

    Great Bay Community College
    Business & Training Center
    320 Corporate Drive
    Portsmouth, NH 03801

    Required documentation: ONLY THE FIRST 4 DOCUMENTS MUST BE SUBMITTED FOR AN INTERVIEW

    1. Application
    2. Resume
    3. High School Diploma, GED, HiSet or College transcripts (highest degree achieved)
    4. Results of WorkReadyNH Pre-Assessment*
    5. WorkReadyNH Certificate of Completion*
    6. Physical Examination/ Health screening AND Immunization Record – after you begin class
    7. NH Criminal Background Check – after you begin class
    8. Drug testing results – after you begin class
    9. CPR/First Aid (American Heart Association – Professional Rescuer) not required; show proof if already have

    * To enroll in WorkReadyNH or schedule an assessment, call 603-427-7636

    The Selection Committee will review the completed application and supporting documentation and interview the candidates. Interviews will be conducted when all required documentation has been received.

    The selection process will consider:
    • Candidates who are 18 years or older
    • Candidates who have a desire to work in the medical field
    • Candidates who have completed WorkReadyNH are given preference
    • Candidates who will commit to an intense twelve-week/480-hour program of instruction & practicum
  • MA Application Information

  • Date Format: MM slash DD slash YYYY
  • In a medical emergency, please contact:

  • Educational History

  • Post-Secondary Education:

  • Employment History

  • Reference

  • Date Format: MM slash DD slash YYYY
  • Notice of Non-Discrimination
    Great Bay Community College does not discriminate in the administration of it admissions and educational programs, activities, or employment practices on the basis of race, color, religion, national origin, age, sex, disability, genetic information veteran status, sexual orientation, political affiliation or marital status. This statement is a reflection of the mission of the Community College System and Great Bay Community College and refers to, but is not limited to, the provisions of the following laws: Title VI and Title VII of the Civil Rights Act of 1964, as amended, the ~ The Age Discrimination Act of 1967 (ADEA) ~ Title IX of the Education Amendment of 1972 ~ Section 504 of the Rehabilitation Act of 1073 ~ The Americans with Disabilities Act of 1990 (ADA) ~ Section 402 of the Vietnam Era Veterans’ Readjustment Assistance Act of 1074 ~ Genetic Information Nondiscrimination Act of 2008.