Skip to content
[MSHCI] HCI Application Evaluation
"
*
" indicates required fields
Date/time of admission interview
*
Interview Scheduled With
Dorothy O'Hagen
Tony Rosales
Is this a readmission?
Yes, this is a readmission request
Check this box only if the student was previously admitted and is now applying for Readmission
Student ID#
*
Application Term
*
Indicate start term
Spring 2024
Summer 2024
Fall 2024
Enrollment Advisor
*
Please select an advisor
Jerome Guidetta
Jake Schneidmiller
Robinelle Nunez
Allison Rogers
Nicole Sampson
Corinne Williams
Residency
*
Domestic
International
Desired Specialization
*
Choose Specialization
Informatics
Analytics
Program Format
*
Online
Campus
Applicant Preferred First Name
*
Applicant Formal First Name
Fill this out only if different from above
Applicant Last Name
*
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Required even if already in Radius due to technical glitch – sorry!
Applicant Email
*
Must match the primary email address currently in Radius!
Educational Qualifications
Education Requirement
*
BA/BS from a Regionally Accredited Institution
BA/BS from a Nationally Accredited Institution
Degree from international university (with WES eval)
Degree Granting Institution
*
Degree Earned
Applicant's GPA
*
Please enter a number from
2.0
to
5.0
.
Applicant's nursing license, if any
*
RN
BSN
Applicant is not a nurse
Professional Qualifications
Months of Related Work Experience
*
Current Job Title
*
Employer Name
*
Hidden
Summary of Health Care Experience
Hidden
Technical Aptitude and Experience
Hidden
Understanding of medical terminology
Has knowledge of medical terminology from past health care experience
Needs to take Medical Terminology course
Hidden
Optional comments regarding experience
Final Application Checklist
Hidden
Letter of Recommendation Summary
Letter from employer is “Recommend” / “Strongly recommend” candidate.
Letter from employer expresses “Some reservations” in recommending candidate.
Letter from employer states “Do Not Recommend” for the candidate regarding graduate study.
Recommendation letter does not come from current employer, but candidate has submitted 2 letters of recommendations
Hidden
Optional final comments regarding applicant
Additional Applicant Information
All the information provided in the fields below will be used to update the applicant’s record in HubSpot, but will not factor into the admission decision.
Applicant phone number
*
In case there is problems with the admission interview login
Country
*
Select Country
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Street Address
*
City
*
Province
Select Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
State
*
Select State
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
Virgin Islands
WA
WV
WI
WY
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
International/Outside US
State/Province
*
Zip/Postal Code
Hidden
Which term best describes your gender?
Woman
Man
Another gender identity
Prefer not to disclose
Hidden
Gender Marker
Female
Male
X
Hidden
What pronouns do you use?
he/him/his
she/her/hers
they/them/theirs
other
decline to state
Hidden
Ethnicity
Select ethnicity
White,non-Hispanic
Black,non-Hispanic
Hispanic
Asian/Pacific Islander
American Indian/Alaska Native
Race/ethnicity unknown
Other
Hidden
Payment Type
Employer Tuition Assistance
Financial Aid
GI Bill / VA
Out of Pocket
Payment Plan
Scholarship / Grant
Yellow Ribbon
Select up to 3
Hidden
Application Influence
Campus Visit
Graduate Fair
College Guidebook/Magazine
Employer
Friend(s)
Information Session
Online Advertising
Open House
Other
Print Advertising
Professional Directory
Ranking
Relative
TV/Radio Advertising
USD Alumni
USD Brochures
USD Faculty/Admin/Staff
USD Student
USD Website
Web Search
Select Up to 3
Hidden
List all other schools to which the applicant is applying
Δ