Henderson-NYITCOM Pre-Med Pathway

First Name

Last Name

Preferred Name (if different than first name)

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Email Address (please use a personal email; not a school email)

Cell Phone Number

School currently or most recently attended

High school graduation year

What type of student will you be upon starting classes at HSU? See description below to determine which student type fits best.

Freshman - You have not attended college beginning the fall after graduating high school.
Readmit - You have previously attended Henderson State.
Transfer - You have attended college since graduating high school beginning the fall after graduation.

When will you start classes at HSU?