First Name *  
 
  Last Name *  
 
  Address *  
 
  City *  
 
  State *  
 STATE* AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY 
  Zip *  
 
  Email Address *  
 
  Phone *  
 
  Student Type *  
 STUDENT TYPE* High School Transfer Graduate 
  High School Name *  
 
  Degree *  
 DEGREE* Applied Psychology & Human Services Art Biology Business Chemistry Education English General Studies Human Biology Humanities Kinesiology & Exercise Science Legal Studies Mathematics Medical Laboratory Science Nursing Pre-Health Psychology Theology Undecided Practical Nursing - Certificate 
  Degree *  
 DEGREE* Applied Psychology & Human Services Art Biology Business Chemistry Education English General Studies Human Biology Humanities Kinesiology & Exercise Science Legal Studies Mathematics Medical Laboratory Science Nursing Pre-Health Psychology Theology Undecided Practical Nursing - Certificate 
  Pre-Health Categories *  
 - Select - Athletic Training Dentistry Medical Occupational Therapy Pharmacy Physical Therapy Physician Assistant Studies Veterinary 
  Pre-Health Categories *  
 - Select - Athletic Training Dentistry Medical Occupational Therapy Pharmacy Physical Therapy Physician Assistant Studies Veterinary 
  Anticipated Start Date *  
 ANTICIPATED START DATE* Fall 2024 Fall 2025 Fall 2026 Fall 2027 
  Anticipated Start Date *  
 ANTICIPATED START DATE* Spring 2024 Fall 2024 Spring 2025 Fall 2025 
  Program *  
 PROGRAM* Doctor of Education Doctor of Physical Therapy Occupational Therapy Doctorate Master of Arts in Teaching Master of Science in Physician Assistant Studies Master of Science in Kinesiology & Exercise Science Master of Science in Organizational Leadership Post-Baccalaureate Paralegal Certificate 
  Anticipated Start Date *  
 ANTICIPATED START DATE* Fall 2024 Fall 2025 Fall 2026 
  Anticipated Start Date *  
 ANTICIPATED START DATE* Summer 2024 Summer 2025 Summer 2026 
  Anticipated Start Date *  
 ANTICIPATED START DATE* Fall 2024 Fall 2025 Fall 2026 
  Anticipated Start Date *  
 ANTICIPATED START DATE* Fall 2024 Fall 2025 Fall 2026 
  Anticipated Start Date *  
 ANTICIPATED START DATE* Fall 2024 Fall 2025 
  Anticipated Start Date *  
 ANTICIPATED START DATE* Fall 2023 Spring 2024 Fall 2024 Spring 2025 Fall 2025 
  Anticipated Start Date *  
 ANTICIPATED START DATE* Fall 2024 Fall 2025 Fall 2026