Use the Online Admission Agreement Form on this page to enroll for one of our classes.

You may also come by the school to register!

To secure your spot, a non-refundable administrative fee is charged on all applications.

Once we receive your application we will follow up with a phone call.


Massachusetts state laws determine how refunds are to be handled if a registered student withdraws. You will be refunded all payments if:

This Form Is Secured

Online Admission Agreement

Applicant Information


Proof of Education: Medical Assistant and Medical Office Assistant and Phlebotomy applicants are required to provide official documents, transcripts, and GED results. Please contact us to arrange for mail in or drop off. Or,if you have electronic copies you can send via email to coastalcareer@comcast.net.

Date of Attendance

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to admission, I understand that false or misleading information in my application or interview may result in my dismissal from the program. This application and all supporting documents become the property of Coastal Career Academy and will not be returned to you or sent to another institution. All candidates for admission to Coastal Career Academy are considered on individual merits, without discrimination on the basis of age, creed, national and ethnic origin, race, color, sex, gender/sexual orientation, marital status or disability.

Electronic Signature

By checking the following box you are stating that you have read and understood the information in this application. This checkbox serves as your Electronic Signature.