First Name *
Last Name *
Is your name hyphenated? * - Select Option Yes No
Please enter the hyphenated name below *
Date of Birth: *
Personal Email Address *
Zip Code (Permanent Address) *
Phone Number *
Have you ever been admitted to GVSU? This includes current admittance. * - Select Option Yes No
Do you still have access to your GVSU issued email? * - Select Option Yes No
*** NOTICE: Your appointment confirmation and reminder will automatically be sent to your GVSU email address. ***
Were you previously admitted to GVSU under a different name? * - Select Option Yes No
Previous Name *
Which College of Health Professions program are you interested in discussing during your appointment? * Allied Health Science Pre-Physical Therapy Allied Health Science Pre-Physician Assistant Studies Applied Food and Nutrition Cardiovascular Sonography Communication Sciences and Disorders Diagnostic Medical Sonography Health Information Management Medical Laboratory Sciences Radiation Therapy Recreational Therapy Respiratory Care Athletic Training (Graduate Program) Audiology (Graduate Program) Clinical Dietetics (Graduate Program) Medical Dosimetry (Graduate Program) Occupational Therapy (Graduate Program) Physical Therapy (Graduate Program) Physician Assistant Studies (Graduate Program) Public Health (Graduate Program) Recreational Therapy (Graduate Program) Speech Language Pathology (Graduate Program) Not listed, please specify
Please specify *
Semester and year you plan to attend GVSU (example Fall 2025) *
Please briefly explain the reason for your appointment request *
Do you have questions about how your courses transfer to GVSU? * - Select Option Yes No
Name of college or university *
Unofficial Transcript 1 If you do not have unofficial copies of your transcript(s) please email Emma Plummer at [email protected]
Unofficial Transcript 2 (as needed) Please upload a file with the extension .png, .jpg, .jpeg, .gif, .bmp, .tiff, .pdf, .doc, or .docx with a maximum size of 10 MB.
Unofficial Transcript 3 (as needed) Please upload a file with the extension .png, .jpg, .jpeg, .gif, .bmp, .tiff, .pdf, .doc, or .docx with a maximum size of 10 MB.
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