Touro College

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School of Health Sciences

Touro College School of Health Sciences
Online Express Inquiry Form

Please fill out the form below to begin your inquiry into the School of Health Sciences. Upon submission of this form, you will be contacted by the appropriate program to complete the application process.

If you desire, you may also download a School of Health Sciences application form.

Choose the Program you are interested in: (Note: If you are interested in more than one program, please fill out this form again for each program.)	AAS Nursing (applications accepted for June 2009 only): Brooklyn AAS Occupational Therapy Assistant: Manhattan AAS Physical Therapy Assistant: Manhattan BS Physician Assistant: Bay Shore & Mineola BS Pre-Professional Studies: Bay Shore BS Pre-Professional Studies: Manhattan BS/DPT Physical Therapy: Bay Shore BS/DPT Physical Therapy: Manhattan BS/MS Occupational Therapy: Bay Shore BS/MS Occupational Therapy: Manhattan BS/MS Physician Assistant Studies: Manhattan MS Oriental Medicine: Manhattan MS Speech/Language Pathology (applications accepted for Fall 2009 only): Brooklyn Post-Professional DPT: Bay Shore
Semester & Year of Desired Entry:	Semester: Year:
Name:	Last: First:
Address:
City:
State:
Zip:
Home Telephone:
Email:
Date of Birth (optional):
Secondary/High School:
High School Graduation Date (Month & Year):
College 1:	School Name: Credits Earned: GPA: Major: Dates of Attendance: Degree Granted/Expected:
College 2:	School Name: Credits Earned: GPA: Major: Dates of Attendance: Degree Granted/Expected:
College 3:	School Name: Credits Earned: GPA: Major: Dates of Attendance: Degree Granted/Expected:
How did you find out about Touro College?

My signature below indicates that all information given in this application is true and complete to the best of my knowledge.
Signature (Type your full name):
Date: 5/16/2008

School of Health Sciences Admissions
Phone: 1-866-TOURO-4-U
Fax: 1-631-665-6342
Email: enrollhealth@touro.edu

Touro College School of Health SciencesOnline Express Inquiry Form

Touro College School of Health Sciences
Online Express Inquiry Form