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Ignite Your Journey: Apply Now and Blaze Your Trail with Vincennes University!
Health Information Management Program - Application
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Choose ONE program:
Medical Coding Certificate 6158, C.P.C
Health Information Management 6150, A.S. Career/Tech
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Personal Information
*Legal First Name
Legal Middle Name
*Legal Last Name
Former Last Name (if applicable)
*Birthdate
*Birthdate
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*Phone #
*Email Address
*Please Pick 1 Unique Identification # to Enter
*Please Pick 1 Unique Identification # to Enter
Student ID # (A#)
Social Security Number (SSN)
*Student ID # (A#)
*Social Security # (SSN)
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Other Information
If you completed a GED, please type the code
A04202
in the High School Name field
If you attended an International HS, please type the code
A00026
in the High School Name field
If you attended a Homeschool, please type the code
970000
in the High School Name field
HS CEEB Code (Read Only)
*High School Name
*Year of HS Graduation
*Year of HS Graduation
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*Have you attended colleges other than VU? Please note this includes colleges/universities you may have received dual credits from while in High School
*Have you attended colleges other than VU? Please note this includes colleges/universities you may have received dual credits from while in High School
Yes
No
*If yes, please list all colleges/universities below:
*Please Note: Official Transcripts must be on file at Vincennes University in order for your application to be evaluated*
Do you have any additional comments/information you would like to include?:
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*Final Student Checklist
(Do Not Submit until all items checked)
HS Transcript or GED sent to Vincennes Univeristy
Send in College/University Transcripts
Completed Accuplacer Test? (or have other alternate test scores on file?)
*If Dist. Ed. Student - Submitted Photo ID? - email to disted@vinu.edu
*Signature
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Date
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By signing/typing your name above, you affirm that the information on this application is correct. Falsification of your application may result in your denial of admission to the College of Health Science and Human Performance and/or Vincennes University.
Submit
