AH Surgical Technology Program Information Request

Surgical Technology Program Information Request

Galveston College Surgical Technology Program has a selective admissions process. This process is nondiscriminatory on the basis of race, color, national origin, gender, age, qualified disability, marital status, veteran's status, or sexual orientation in admissions to the program. Note: It is the student's responsibility to provide the program director written notification of any changes in contact information.

First Name:

Middle Name:

Last Name:

Student ID:

Cell Phone Number:

Email:

Student ID is required for program application.

Please visit "Apply Texas" to apply to Galveston College.

Date of Birth:

Anticipated Enrollment Year:

Address:

City:

State:

Zip:

Completed or currently enrolled in: (Check all that apply) (* indicates prerequisite)