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The following Statement of Student Responsibility must be completed before acceptance into the Health Information Technology Program. Please read the statement carefully and indicate your response in the appropriate places.
I have read the program information for the Health Information Technology Program at LSC-North Harris. By submitting an application, I agree to abide by the admission requirements of this program. To be considered, I accept full responsibility for submitting a complete admission packet. I understand that OFFICIAL TRANSCRIPTS FOR ALL PREVIOUS COLLEGES ATTENDED (except LSCS) MUST BE ON FILE WITH THE REGISTRAR. I further understand that I will not be accepted into the program until I have completed all admission requirements. Agree Disagree
Once I have submitted my admissions packet to the LSC-North Harris Health Occupations Division Office, Winship 166, I understand that it is my responsibility to inform this office of any change in my name, address, telephone number, intentions to enroll or any other information that would affect my entrance into the program. I understand that if I am not accepted, I will need to reapply in order to be considered for the next class. I further understand that I must complete all TASP requirements prior to admission. Agree Disagree
I understand that the purpose of this program is to prepare me to take the National Registered Health Informaiton Technology examintion and to becomre a professional in the field. Agree Disagree
I understand that it is my responsibility to attend classes regularly, complete all coursework in a timely maner, and keep myself informed of all assignments and projects. Agree Disagree
I certify all of the information I have provided is complete and correct. I acknowledge that deliberate omissions or falsifications may subject me to rejection of my application or dismissal from the program. Agree Disagree
Applicant's Name Date Applicant's Email Address: