New International Student Application

Texas Health and Science University

2015 S. I35, Suite 250,, Austin, TX 78741

International Student Application

International Application

Please fill out all required fields. If a field does not apply to your, please type "N/A"

Application Date

Campus

Program

First Name

Middle Name

Last Name

Picture File

Gender

Ethnicity

Home Phone

Cell Phone

Street

City

State/Province

Zip/Postcode

Country

Birth Date

International Students

Yes No Not Selected

Passport Number

Country of Birth

Education

1. School or college

City & state

Degrees &ampampampamp; major

2. School or college

City & state

Degrees &ampampampamp; major

3. School or college

City & state

Degrees &ampampampamp; major

Are you in the first generation of your family to attend college?

Yes No Not Selected

Referral Source

How did you first learn about THSU?

Emergency Contact

Contact Name

Relationship

Home Phone

Cell Phone

Work Phone

Street

City

State

Zip

Signature

Date

Application Fee

$150 - Application fee for international students