Houston Passport2College Application

This is the application for the DeVry University Passport2College program that will be held at the Houston, Texas main campus and Galleria center during the month of June. A special enrollment application will be required for those students accepted into the program. Applicants who are not 18 years of age will need the signature of a parent or legal guardian.

Deadline for Application:

This application must be submitted by May 29, 2009. DeVry University reserves the right to limit class size. Enrollment is on a first-come, first-served basis for those who have completed the application process and met the application deadline.

Note: this application must be filled out completely in order to be accepted.

* = a required field

First Name:*
Last Name:*
Middle Initial:
   
Street Address:*
Apt #:
City:*
State:*
ZIP Code:*
   
Home Phone #:*
Alternate Phone #:
Email Address:*
 
Choice of Class:*
High School Name:*
Cumulative GPA:*
Name of Guidance Counselor:*  
   
Parent Name:*
Parent Phone #:*
Parent Email Address:
 
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