Health Profession Intent Form

Submit the following information to register your interest in preparing for a Health Profession. Update your information as often as necessary to remain current and maintain your status as an active participant in the Pre-med or Pre-health Program. After your original submission, fill in only your name, CNU student ID# and email address (preferably your CNU email address), and any information updates. **If your semester hours are not updated each semester, your intent will become inactive and you will not receive important prehealth updates and information!**
* Required







CNU Address or Local Address

Only one is required (either Residence Hall and Box Number or Local Address, City, State, Zip)






Permanent Home Address






Education Info










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