UAHT Concurrent Application for Admission

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电子邮件地址 *

Name *

Maiden Name (if different)

Social Security or Government ID Number *

Street Address *

Street Address Line 2

City *

County *

State *

Zip Code *

Phone Number

Date of Birth *

年

月

日

Place of Birth (City, State) *

Email Address (NOT your high school email address) *

Enrolling for: *

Fall

Spring

Summer

必填

Enrollment Year *

Which UAHT campus do you plan to attend? *

Hope

Texarkana

Both

Have you resided in the state of Arkansas for the last six months? *

Yes

Have you resided in Hempstead County for the last 90 days? *

Yes

Are you a United States citizen? *

Yes

Are you a permanent United States resident? *

Yes

Are you a current or former member of the US Armed Forces? *

Yes

Are you a current or former member of the National Guard? *

Yes

Are you a current or former member of the Reserves? *

Yes

What is your ethnic origin? *

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

American Indian or Alaska Native

White

Two or more races, mark all races that apply

I choose not to answer

必填

Gender *

Male

Female

I choose not to answer

Admission Status *

First Time Freshman (First-time attending any college AFTER high school)

High School/Concurrent (High school student taking classes on a high school or UAHT campus)

Visiting Student (Degree seeking at another institution)

Transfer (Degree seeking at UAHT and attended another institution previously)

Non-Degree Seeking (Not seeking a degree at UAHT)

Re-Admittance (Have attended UAHT before, after high school graduation)

必填

High School Graduate Year *

High School Attended *

Did either of your parents complete a four-year college degree? *

Mother

Father

Both

Neither

Are you a convicted sex offender? *

Yes

Mark the class that you plan to take in Fall 2020 at the Prescott High School Campus.

Composition I

Mark all classes that you plan to take in Fall 2020 on the UA-Hope campus. NOTE: Pay attention to the day and time. You can only take up to one MWF 8 class and one TR 8 class.

Composition I: MWF 8-8:50

Composition I: TR 8-9:15

College Algebra: MWF 8-8:50

College Algebra: TR 8-9:15

US History I: MWF 8-8:50

Sociology: MWF 8-8:50

Other (Type the name of the course and the time below)

If you are taking a course on the UA-Hope campus other than the ones listed above, type the NAME of the course and the TIME it meets here. You can find the course schedule at https://www.uaht.edu/academics/class-schedules/academic-class-schedule/

Mark all classes that you plan to take in Fall 2020 ONLINE.

Art Appreciation

College Algebra

Music Appreciation

Psychology

Speech

US History I

World Civilizations I

World Literature I (must have already taken Comp 2)

By checking this box, you (the student) are acknowledging that you have read and understood this form and give the University of Arkansas at Hope-Texarkana permission to release your academic record to the high school. *

Yes

必填

By checking this box, you (the student) are acknowledging that you are aware that you are enrolling in a college level course and therefore will adhere to all policies of the college as stated in the College Catalog. *

Yes

必填

By checking this box, you (the student) are confirming that you have discussed your enrollment and class choices with your parent/guardian and your high school counselor. *

Yes

必填

您回复的副本将通过电子邮件发送到您提供的地址。

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