Partnership - Intent to apply form

Please submit the name of your company/organization that is participating in the HPU Reduced Tuition Partnership, as well as your name and contact information.
A member of the admissions team will be in contact with you and share the information you will need to waive your application fee.
Please do not begin your application until you have received this information.
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
(Note discount & app fee waiver is not applicable to online nursing programs. App fee waiver does not apply to third-party common application systems (CAS)). *