Accelerated Science Courses Application

Accelerated Science Courses Application

Name

Permanent Address

Current Address

Contact Information

Emergency Contact

Plan of Study

Select from the Friday-Saturday courses or Saturday-Sunday courses below. If you have trouble selecting your desired course, please contact one of our dedicated Accelerated Science counselors: Mike Smith at [email protected] or Samantha King at [email protected].

Click here to view the Friday-Saturday Course Schedule

Click here to view the Saturday-Sunday Course Schedule

Please select course days:

Friday-SaturdaySaturday-Sunday

To register for additional future courses please see staff in the OneStop B building when you are on campus or contact admissions directly at (562) 902-3309 or [email protected].

Academic Information

If you plan to take courses through the Accelerated Science program that require a pre requisite coursework please list your colleges or universities that you have attended. Please note that an official copy of your transcript will be required in the registration process to demonstrate that you have met the pre requisite requirements.

Demographic Information

The information requested below is optional and will not be used for admissions purposes. It will be used to satisfy federal reporting requirements and may be used for other purposes allowed by law.

Please indicate whether you consider yourself to be Hispanic or Latino (A person of Cuban, Mexican, Chicano, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.)

In addition, select one or more of the following racial categories to describe yourself

American Indian or Alaska Native: a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
Asian: a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black or African American: a person having origins in any black racial groups of Africa.
Native Hawaiian or Other Pacific Islander: a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White: a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Non resident alien: A person who is not a citizen or national of the United States and who is in this country on a visa or temporary basis and does not have the right to remain indefinitely.

Non-US Citizens:

Other Information

Cash PlanMillitary or Government PlanPrivate Education LoanPayment PlanOther

 

The statements I have made are correct to the best of my knowledge. I understand that any misrepresentation or omission of facts requested on this application is cause for disqualification of the application process or for dismissal from the University. If admitted, I agree to conform to all rules and regulations of Southern California University of Health Sciences.

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