Prospective Intake Form

Student Name * Required
First Last
Email Address * Required
Enter Email Confirm Email
What Class Standing will you be at Boise State? * Required
- Freshman (0-25 credits)
- Sophomore (26-57 credits)
- Junior (58-89 credits)
- Senior (90+ credits)
- Post Baccalaureate (You have earned a Bachelor’s already)
- Graduate (getting a Masters degree)
- Non-degree
Will you be attending Full time or Part Time at Boise State?
- Full-Time (12+ credits/semester)
- Part-Time (11 or fewer credits/semester)
Have you completed college credit through another source? (you may select more than one)
- Advanced Placement (AP tests/scores)
- International Baccalaureate (IB higher level exams)
- Dual Enrollment (College credit in high school)
- Junior/Community College
- Other University
- Military (SMART, ARTS, or Coast Guard)
What field of study are in you interested below (you may select more than one)? * Required
- Health Studies – General
- Health Studies – Health Informatics and Information Management
- Health Studies -Science
- Kinesiology – Biomechanics
- Kinesiology – Exercise Science
- Kinesiology – Pre-Allied Health
- Kinesiology – Pre-Athletic Training
- K-12 Physical Education
- Nursing
- Pre-Chiropractic
- Pre-Medical Lab Sciences
- Pre-Dental Studies
- Pre-Dental Hygiene
- Pre-Dietetics
- Pre-Medical Studies
- Pre-Occupational Therapy
- Pre-Optometry
- Pre-Pharmacy
- Pre-Physical Therapy
- Pre-Physician Assistant
- Pre-Speech-Language Pathology
- Pre-Veterinary Medicine
- Public Health – General
- Public Health – Environmental & Occupational Health & Safety
- Public Health – Health Education & Promotion
- Radiological Sciences
- Respiratory Care
- Social Work
- Undecided Health Sciences
Who are you seeing today? * Required
(Erin Colburn, Glenda Hill, Ellie Pierce, Olga Salinas, or Natalie Newell, or Melody Volk)
Date
MM slash DD slash YYYY

Prospective Intake Form

College of Health Sciences - Student Services and Academic Advising