Registration Form

        Name:       Telephone:        


        City:       State:       ZIP:      

        Email Address:      

Some sessions have limited capacity, so please let us know if you are
interested in attending either of the sessions listed below - please check box:
  Texas Tech University Health Sciences Center

Please let us know which School(s) you are interested in below. 
You may check
more than one.

School of Medicine -> MD, MD/MBA, MD/MPH, MD/PhD, JD/MD, FMAT
School of Nursing -> Traditional BSN, RN to BSN, BSN
(2nd degree), MSN, DNP
School of Health Professions -> CLS, MP, OT, PT, SLHS, SLP, PA, Audiology, AT
Graduate School of Biomedical Sciences -> Masters, PhD
School of Pharmacy -> PharmD, PharmD/MBA
 I am a(n):


        Special Dietary Needs:  

        School Name/Department:    

        Year (or anticipated year) of Graduation:    

Photographs will be taken during the day which may be used on social media or for promotional purposes. Please read the photography release and check the box if you agree. If you, or the person you are registering, are under the age of 18 please have a parent or guardian read the release before approving.

Read release form