Houston Institute of Global Health
9494 Southwest Freeway Suite 700 Houston Texas 77074 Tel: 713-505-1660 apply@hightexas.org https://hightexas.org/
New Student Admissions Application
Program
...
Communicating in a Diverse Healthcare Environment (DHE)
NCLEX Review (NCL)
Professionalism in Healthcare (PIH)
Telehealth Essentials (THE)
Medical Assistant (MA)
Medical Billing And Coding (MBC)
Phlebotomy Technician (PHL)
NOTE: Terms start every four weeks. Every year, Spring Term 1 begins in January & Spring Term 2 begins in March. Summer begins in May. Fall Term 1 begins in August and Fall Term 2 begins in October.
Personal Information
Please enter your name as it appears on your passport or other official documents
Last Name
First Name
Middle Name
Sufix {Jr., Sr., etc.}
Email
Cell Phone
Birth Date
Social Security No
Gender
...
Male
Female
Current Mailing Address
Street
City
State/Province
Zip/Postcode
Country
Citizenship
Place of Birth
City/Town State/Province Country
Work Status
Our Goal is to place our graduates in careers in Healthcare. You must be authorized to work in the United States to attend our programs.
Residency Status
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US Citizen
Green Card Holder
I am authorized to Work in the US
I am not authorized to work in the US
Academic Information
High School
City/Town
State/Province
Zip/Postal Code
Country
Are you a High School Graduate or have received a GED?
Yes
No
Not Selected
Please upload high school diploma or GED
Authorization
Your signature below confirms all information in this application (including any supplemental information) is factually true and honestly presented and that you are the person submitting this application.
Date
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