Name of country other than USA. If not applicable, please write NA

Please check one program.

Please list all High Schools and Trade or Technical Schools you have attended. Please tell us the: SCHOOL NAME / CITY & STATE / DATES ATTENDED

Please list all Colleges you have attended. Tell us the: COLLEGE & STATE / DATES ATTENDED / DEGREES EARNED. If not applicable, please write NA.

Although a credential/licensure is not required by the state, companies may make it a condition of employment, as well as conducting a criminal background check. An applicant should consider and personally evaluate whether or not there are personal circumstances or physical limitations that may adversely impact his or her ability to complete a program at Mandl.

I understand that this application cannot be processed if it has not been completed properly and that all information submitted is true to the best of my knowledge. Accordingly, any deliberate falsification or omission of data may result in a denial of admission or dismissal.

Write name of high school and address

Please print, including maiden name if applicable.

I agree that the above information is accurate to the best of my ability and I give permission for Mandl School - The College of Allied Health to request a transcript of my grades from the High School listed above.

For disclosures and detailed program(s) information, please refer to the Mandl School Catalog & Mandl School Student Handbook located on our website and please confirm that you understand Mandl School has provided you with our School Catalog and Student Handbook.