PA Program - Early Assurance of Interview Program

First Name

Last Name

Mailing Address

Country

Street

City

Region

Postal Code

H Number

Email Address

Year you started at Harding

Current Year in School

Graduation Year

Declared Major

Current Advisor(s)

Professional Reference
Enter the name and email of your selected professional reference below. The HUPA Admissions Team will send them a reference form to complete. It is your responsibility to arrange this reference and notify them beforehand.

Professional Reference Name

Professional Reference Email

EAI Acknowledgement and Agreement
By checking each box, you agree to the following:

I have read the requirements for acceptance into this program as well as what is required to remain in this program.

I will remain in communication with my Advisor/pre-PA Advisor and the HUPA Admissions Team as needed.

I will submit a Verified application through CASPA by September 1st of my application year.

I understand that I will only be guaranteed a callback interview with the PA Program upon completion of all EAI requirements.

I understand that the EAI Program does not guarantee me acceptance into Harding's PA Program.

Harding's PA Program can access my grades and test scores through Pipeline.

Harding's PA Program can inquire with Student Services to verify that I have remained in good standing with the University.

If you no longer meet the criteria for the EAI Program, you may still apply to Harding's PA Program through CASPA. Your application will be given fair consideration.

Electronic Signature

Date

Checking this box constitutes a legal signature confirming that I acknowledge and agree to all of the above.