Admissions Application Request - Main Form

Community Education Online Registration Form- please provide us with the following information.

Current BFA or Graduate Program students and alumni- please contact the NHIA Registrar directly.

is Required

is Required

Salutation
Legal First Name
Middle Name
Legal Last Name
Preferred Name
Suffix
Email Address
Date of Birth
Legal Gender

is Required

Home Address
Country
Street 1
Street 2
City
State
Zip Code
Home Phone Number Ext:
US Cell Phone Ext:

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is Required

is Required