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Online Healthcare Prerequisites Form

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Please complete this Online Healthcare Prerequisites Form if you have submitted an application to apply to one of DeSales University's certificate or degree programs.

If you are interested in taking online prerequisites without pursuing a certificate/degree at DeSales, please complete the Visiting Student Application here.

Current DeSales Students: Please contact your advisor regarding registration for Online Healthcare Prerequisites.

Items marked with an asterisk (*) are required for submission.

Personal Background

First Name

Preferred Name

Last Name

Previous Last Name Used

Birthdate

Birthdate

Contact Information

Email Address

Preferred Phone Number

Preferred Phone Type

I would like to receive text messages

Would you like to provide a mailing address?

Would you like to provide a mailing address?

Yes

Mailing Address

Mailing Address

Country

Street

City

Region

Postal Code

Student Information

I am currently applying to DeSales University as a:

I am currently applying to DeSales University as a:

High School Student

Current College Student (Incoming Transfer)

Adult Pursuing a Bachelor's Degree or Certificate

Adult Pursuing a Second Bachelor's Degree in Nursing

Adult Pursuing a Graduate Degree or Certificate

Online Healthcare Prerequisite Course Information

Entry Term

Please note: registration for the selected entry term is not yet open. An Admissions Counselor will contact you regarding registration dates.

In which course(s) are you interested?

In which course(s) are you interested?

Anatomy & Physiology I

Anatomy & Physiology II

Human Development

Introduction to Psychology

Microbiology

Physiological Chemistry

Probability & Statistics

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