Medical Assistant Program

Your Career in Healthcare Starts Here!

Become a Medical Assistant in 12 months

Information Session

January 25
5:00 p.m. – 6:00 p.m.

Learn more about this exciting program and what steps you need to take to submit a successful application, finish the program, and get hired.

Name

First Last

Phone

The four-quarter program includes 68 units of coursework and 200 hours of clinical internship hours.

Course of study prepares students for the American Medical Technologists (AMT) Registered Medical
Assistant (RMA) exam.

Curriculum is reviewed and approved by an advisory board comprised of practitioners in the field, industry leaders, and UCLA Health physicians, nurses, and administrators from UCLA academic departments.

A college degree is not required to enter the program.

APPLY TODAY

This application is two parts. The first part is the Los Angeles Urban League application. Once you submit your information you will be redirected to the UCLA Extension application.

"*" indicates required fields

Step 1 of 3

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Name*

First Last

Email*

Cell Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Demographic Information

Date of Birth*

Month

Day

Year

What is your ethnicity?*

Black or African American

Hispanic or Latino

Asian or Pacific Islander

Native American

Caucasian

Other

Mixed/Multi Racial

East Asian/Indian

Gender*

Male

Female

Other

Non-binary

Choose not to answer

Are you a Veteran?*

Yes

Are you a current or former foster youth?*

Yes

Do you have a disability?*

Yes

Please describe the nature of your disability

Employer accommodations required?*

Yes

Citizenship/Work Status*

U.S. Citizen

Visa/Green Card

Undocumented

Valid Work Permit

Have you ever been convicted of a felony?*

Yes

Education

Have you received a high school diploma or GED?*

Yes

Please check any post secondary education experience*

None

Vocational or Technical School

2-year or Community College

4-year College or University

Name of School

Did you graduate?

Yes

Work and Income History

Are you currently employed?*

Yes

Your hourly wage or annual salary*

Your current or most recent employer*

What was your previous year income?*

Resume upload

Accepted file types: doc, docx, pdf, Max. file size: 256 MB.

If you have a resume ready, please upload it here.

Do you currently receive government benefits (Social Security Disability Insurance (SSDI), Medicare/Medicaid, CalWorks, WIC, etc.)?*

Yes

Check all public benefits received and list the monthly benefit amount

CalWorks

General Relief

SNAP

SSI/SSDI

WIC

Other

Total amount of public benefits received

Housing & Transportation

I have reliable means of transportation*

Yes

I have access to a car*

Yes

I have funds to maintain my car*

Yes

I have a California driver's license*

Yes

I use a bus or train to get around*

Yes

I have adequate funds for public bus or train to get around*

Yes

I currently have stable housing*

Yes

I pay rent where I currently reside*

Yes

I have been unhoused in the past year*

Yes

I am currently unhoused*

Yes

Do you have a case worker or agency helping you?*

Yes

Please list the case worker or agency helping you

Supportive services needed

Housing Services/ Homelessness

Transportation

Childcare/Senior Care

Healthcare

Job Search/Resume Building

Food/Nutrition

Legal Services

Re-entry Services

Substance Abuse

Mental Health/Counseling

Disability Services

Computer/Internet Access

Tuition Assistance

Other

How did you hear about this program?*

Urban League Website

Urban League Social Media

Urban League Email

Internet Search

Job Fair or Work Source Event

Friend/Family/Colleague

Other

Subscribe to Newsletter

Yes

Los Angeles Urban League helps African Americans and others in underserved communities achieve their highest true social parity, economic self- reliance, power, and civil rights. The League promotes economic empowerment through education and job training, housing and community development, workforce development, entrepreneurship, health, and quality of life.