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HEALTH INFORMATION MANAGEMENT PROGRAM APPLICATION

Questions? Contact the program director.
Full Name(Required)














Address



















MM slash DD slash YYYY

I have healthcare experience.(Required)


I am a high school graduate or have completed a GED.(Required)


I have been to counseling and taken the Math and English placement tests.(Required)


I have passed MTE 5 or higher, or taken a college math course.(Required)


I have passed Biology 141 with a C or higher.(Required)


Other courses I am currently enrolled in or have taken: (check all that apply)(Required)









Do you wish to attend HIM classes full-time or part-time?(Required)