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[MSHCI] HCI Application Evaluation

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Please list in PACIFIC TIME ZONE
Is this a readmission?
Check this box only if the student was previously admitted and is now applying for Readmission
Program Format*
Campus students can ONLY apply for Fall
Residency*
Fill this out only if different from above
Date of Birth*
Required even if already in Radius due to technical glitch – sorry!
Must match the primary email address currently in HubSpot!

Educational Qualifications

Education Requirement*
Please enter a number from 2.0 to 5.0.
Applicant's nursing license, if any*

Professional Qualifications

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Understanding of medical terminology
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Final Application Checklist

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Letter of Recommendation Summary
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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.
In case there is problems with the admission interview login
Deposit Waived?*
Deposit Paid?*
Reason for Waived Deposit
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Which term best describes your gender?
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Gender Marker
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What pronouns do you use?
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Payment Type
Select up to 3
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Application Influence
Select Up to 3
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