Partnership - Intent to apply form (Step 1)

Employees/Members of HPU's partnership organizations must complete this form to request an HPU application fee waiver code. Request must be made PRIOR to submitting the HPU online application.

List of Participating Programs

Company/Organization Name *
Your Name Your Name * First Last
Your Email *
Phone *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Date of Birth Date of Birth * / MM / DD YYYY

Example: 01/02/1985
Degree Level *
Anticipated Entry Term *
Academic Program of Interest *
Acknowledgement
App fee waiver & tuition discount is not applicable to online nursing or physical therapy programs. App fee waiver does not apply to third-party common application systems (DPTCAS, PSYCAS, CAS). *

App fee waiver & tuition discount is not applicable to online nursing or physical therapy programs. App fee waiver does not apply to third-party common application systems (DPTCAS, PSYCAS, CAS).
Application fees paid prior to completing this request form are non-refundable. *

Application fees paid prior to completing this request form are non-refundable.
Tuition discount is not stackable with other HPU institutional awards/scholarships or other significant funding sources. *

Tuition discount is not stackable with other HPU institutional awards/scholarships or other significant funding sources.
Partnership discount applies to newly enrolled students only. *

Partnership discount applies to newly enrolled students only.

Students currently enrolled at HPU are not eligible for the partnership discount.

Partnership - Intent to apply form (Step 1)

Partnership - Intent to apply form (Step 1)

Acknowledgement