Health Information Management Program Application

List all educational institutions that you have attended: Name of college, major, date of attendance

It is your responsibility to provide Blinn Admissions with an official transcript. You must also be a high school graduate or have obtained a GED to be admitted to any Allied Health Program.

Please remove any special characters, email addresses, and URLs.

Current/Most Recent Employment: Name of employer, job title, length of employment

Please remove any special characters, email addresses, and URLs.

Have you ever been convicted of a misdemeanor or felony? If yes, please explain

Please remove any special characters, email addresses, and URLs.

Acknowledge Notice: I certify that the information, provided in this application, is correct and complete. I understand that omission or falsification of information is grounds for exclusion and dismissal. I agree to meet all entrance requirements and to conform and abide by the letter and spirit of the rules, regulations, and procedures of Blinn College District and this program. Even though the HIM programs are open enrollment, the application is necessary for sending out the program handbook, class advisement, class registration, and clinical preparation.

I have read, understood, and agree to Acknowledge Notice above.

HIM Program Application

Health Information Management Program Application