Health Information Management Department
Texas State University
PLEASE NOTE: Application to Texas State University is also required for all HIM Programs.
All information must be completed as indicated.
Application for Fall 2018 entry into BSHIM Degree program
THE FOLLOWING QUESTIONS MUST BE ANSWERED FOR APPLICATION TO BE COMPLETE.
Answer these questions in your own words. Your responses will be evaluated according to how clearly you express your own thoughts and your understanding of the health information management profession.
1-2 paragraphs for each question should provide a sufficient response.
Admission Application Checklist
It is the APPLICANT’S RESPONSIBILITY to verify that his/her file is complete.
HIM Department: Encino Hall, Room 302, phone 512 245-8242 for questions
• Documents to be submitted for complete application:
______ HIM application form submitted by March 31
______ Official transcripts from all colleges attended
______ Two completed reference forms. Blank forms available at Reference Forms
NOTE: Your transcripts and reference forms should be submitted as soon as possible, but NO LATER THAN the March 31st deadline for your application to be considered complete.
• If you are not a current Texas State student, you must also apply to Texas State University:
______ Submit Texas State University application
______ Submit official transcripts as indicated when completing the Texas State University application form
NOTE: Application Status. Once you have submitted your Texas State application, you may go to Check Status to check the status of your application, respond to issues or request for additional information so the application process can be completed.
I hereby certify that I have made no willful misrepresentations nor have I withheld information pertinent to this application. I authorize the Texas State University Registrar's Office to release copies of my transcript to the Health Information Management Program Admissions Committee. I understand acceptance by Texas State University does not imply acceptance into the professional phase of the Health Information Management Program. The HIM Department Admissions Committee will review and select students for entry into the program.
Background Checks and Drug Screening
I understand that as a condition for placement in some professional practice experience sites, I may be required to have a background check and/or drug screening and/or meet other specific requirements as set by individual sites.