HEALTHCARE ADMINISTRATION - Texas State University



ADMISSION APPLICATION

HEALTHCARE ADMINISTRATION (BHA)

Applying for (semester/year): Fall ____ Spring _____

Name:_____________________________ Texas State ID:___________

(Last) (First)

Cell Phone

Texas State E-mail: (other email if not a Texas State student)

(Acceptance letter and other important information will be emailed.)

If you have outstanding courses remaining after current semester, list the course(s) and semester you plan to complete the course (s).

CURRENT SCHEDULE: please attach a copy of current schedule

Student Signature Date

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Interview with BHA Program Director

(BHA Program Director Signature)

(Date)

Completion of the application does not guarantee acceptance to the BHA Program.

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REVISED 11/10/16

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