Application for Admission

You respond to each item on the application.
AFTER SUBMITTING YOUR ONLINE APPLICATION, IF YOU DO NOT RECEIVE CONFIRMATION THAT YOUR APPLICATION WAS SUBMITTED SUCCESSFULLY, PLEASE CALL 870-722-8524. THANK YOU!
  • Former Last Name(s) if different from above.
  • Resident Status
  • Please type N/A if you do not have a GED
  • Please type N/A if you do not have a GED
  • Please type N/A if you are not a transfer student
  • Please type N/A if you are not a transfer student
  • College/UniversityDate of AttendanceCredit Hours Earned 
    Add a row
    Please type N/A if you are not a transfer student
    Please type N/A if you have not attended UAHT before
  • To select multiple hold down Ctrl key and select with mouse
  • If you have indicated your degree intent above, please type N/A here
  • Indicate by submitting this form that you have read and understood all of the information on this application and the information you have provided is factually correct and honestly prepared. Full-time students are required to submit proof of measles and rubella immunization prior to admission. Failure to provide this proof of immunization will result in your being withdrawn from the courses in which you are enrolled. The UACCH College Catalog provides all of the policies and procedures students are required to follow. Please obtain a copy of the Catalog and be familiar with its contents.