If you would
like more information about one of the progressive School of Allied Health's programs, please fill out the information below.
Name:
Address:
City:
State: Zip:
E-Mail:
Phone:
Program:
Please answer the following questions.
The information gained will be used to help us better promote
the Department as well as tailor our recruitment activities.
If you do not wish to answer the following questions, please
scroll to the bottom of the page to submit your request.
1. Where did you learn about
the program of interest?
High
School Counselor
College
Counselor
On the InterNet
Individuals in
the Profession
Talking
with Friends
Other, Explain
2. What is your educational status?
Freshman in High
School
Sophomore in High School
Junior in High School
Senior in High School
Community College
Enrollee
High School graduate, not enrolled
in an Undergraduate program
3. Would you be interested in
taking some of your classes via the Internet(Distance Learning)?