Health Information Technology Application

Wednesday, February 19, 2020

Sciences, Math and Allied Health Departments

Allied Health Programs
Mathematics
Natural and Physical Sciences

Helpful Links

Academic Calendar
Academic Advising
Cost of Attendance
Disability Services
Financial Aid and Scholarships
Schedule of Classes
Student Handbook
Student Right to Know Act
Testing Services

This application is for students who have completed an application to UA - Pulaski Tech. If you have any questions about this form or about the Health Information Technology (HIT) program, please contact [email protected].

Full Name:

Student ID or Social Security Number:

Date of Birth:

Address:

City:

State:

Zip Code:

Phone:

Email:

Are you a distant student (not in the Little Rock metro area)? If so, please select your closest location.

Student Type:

Full-Time

Part-Time

Applying for:

Spring

Fall

Summer Extended

Choose program:

Associate of Science in Health Information Technology

PLEASE SUBMIT THIS APPLICATION ONCE.