Student Application

The Blinn College District Health Information Technology Program is open enrollment, however, an application is necessary for receiving the program handbook, class advisement, class registration, and clinical preparation.

STEP 1:
Contact
Information

STEP 2:
Program
Information

STEP 3:
Education

STEP 4:
Employment
History

STEP 5:
Background
Information

STEP 6:
Document
Uploads

3%

Application is due by noon on the Friday before the Fall/Spring start date

Health Information Technology Program Application
First Name ( * ):
Middle Name or Initial:
Last Name ( * ):
Blinn ID Number ( * ):
Email Address ( * ):
Phone Number ( * ):
Street Address ( * ):
City ( * ):
State ( * ):
Zip Code ( * ):
20%
Health Information Technology Program Application
Anticipated Starting Semester ( * ):
Fall
Spring
Summer
Choose Program(s) of Interest
Health Information Technology AAS (Online)
2-year plan
3-year plan
4-year plan
Medical Billing and Coding Specialist Certificate (Online)
(feeds directly into HIT AAS)
 1-year plan
 2-year plan
 3-year plan
40%
TSI Scores (Must be TSI ready to take certain courses)
Reading :
Writing :
Math :

List Developmental Courses, if applicable

List all educational institutions that you have attended: Name of college, major, date of attendance
60%
Current/Most Recent Employment: Name of employer, job title, length of employment
70%
Have you ever been convicted of a misdemeanor or felony? If yes, please explain
80%

Attach unofficial transcripts from every college/university you have attended with this application.

It is your responsibility to provide Blinn Admissions with an official transcript. You must also be a high school graduate or have obtained a GED to be admitted to any Allied Health Program.
(PDF ONLY)

100%

Please indicate the manner in which you found out about this program:

Work
Family Member
High School Counselor
Someone in the Field
Career Fair (Recruiting Event)
CAHIIM Website
Blinn Website
Community Contact
Other, please state:

Please review the information entered by clicking the "previous/next" buttons. Acknowledge below when ready.

I certify that the information, provided in this application, is correct and complete. I understand that omission or falsification of information is grounds for exclusion and dismissal. I agree to meet all entrance requirements and to conform and abide by the letter and spirit of the rules, regulations, and procedures of Blinn College District and this program. Even though the HIT programs are open enrollment, the application is necessary for sending out the program handbook, class advisement, class registration, and clinical preparation.

Initials ( * ):